ST CROIX HOSPICE LLC
NPI 1659786259
Hospice Care, Community Based in Spirit Lake, IA

NPI Status: Active since June 23, 2014

Contact Information

802 LAKE ST STE 3
SPIRIT LAKE, IA
ZIP 51360
Phone: (712) 264-5674
Fax: (712) 580-3043

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  • Organization
  • Hospice Care, Community Based
  • Accepts Insurance
  • CLIA Number: 26D2261451
  • CLIA Cert. Type: Hospice
  • CLIA Exp. Date: 05-31-2026

About ST CROIX HOSPICE LLC

This page provides the complete NPI Profile along with additional information for St Croix Hospice Llc, a provider established in Spirit Lake, Iowa operating as a Hospice Care, Community Based. The healthcare provider is registered in the NPI registry with number 1659786259 assigned on June 2014. The practitioner's primary taxonomy code is 251G00000X. The provider is registered as an organization and their NPI record was last updated February 2025. The provider's . The authorized official of this NPI record is Stephen Phenneger (Cfo)

NPI
1659786259
Provider Legal Name
ST CROIX HOSPICE LLC
Other Organization Name
Other Name Type
(6)
Entity Type
Organization
Location Address
802 LAKE ST STE 3 SPIRIT LAKE, IA 51360
Location Phone
(712) 264-5674
Location Fax
(712) 580-3043
Mailing Address
7755 3RD ST N STE 200 OAKDALE, MN 55128
Mailing Phone
(651) 735-3656
Mailing Fax
(712) 580-3043
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
06-23-2014
Last Update Date
02-27-2025
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According to the Hospice Quality Reporting Program (HQRP) data this facility is for-profit and was certified on 03-12-2015 This facility was recently evaluated on the following quality measures: average daily census, hospice served at least 1 patient with both medicare and medicaid coverage during one year, hospice served at least 1 patient enrolled in medicare advantage during one year, care provided in assisted living facility and care provided in home, etc.

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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Hospice Care, Community Based

Taxonomy Code
251G00000X
Type
Agencies

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Complete Gold - EPO
  • Complete Gold + Vision + Adult Dental - EPO
  • Complete Silver - EPO
  • Complete Silver + Vision + Adult Dental - EPO
  • Elite Bronze - EPO
  • Elite Bronze + Vision + Adult Dental - EPO
  • Everyday Bronze - EPO
  • Everyday Bronze + Vision + Adult Dental - EPO
  • Everyday Gold - EPO
  • Everyday Gold + Vision + Adult Dental - EPO
  • Choice Bronze HSA - HMO
  • Choice Bronze HSA + Vision + Adult Dental - HMO
  • Clear Gold - HMO
  • Clear Gold + Vision + Adult Dental - HMO
  • Complete Silver - HMO
  • Complete Silver + Vision + Adult Dental - HMO
  • Elite Bronze - HMO
  • Elite Bronze + Vision + Adult Dental - HMO
  • Elite Gold - HMO
  • Elite Gold + Vision + Adult Dental - HMO
  • Choice Bronze HSA - EPO
  • Choice Bronze HSA + Vision + Adult Dental - EPO
  • Clear Silver - EPO
  • Clear Silver + Vision + Adult Dental - EPO
  • Complete Gold - EPO
  • Complete Gold + Vision + Adult Dental - EPO
  • Complete Silver - EPO
  • Complete Silver + Vision + Adult Dental - EPO
  • Elite Bronze - EPO
  • Elite Bronze + Vision + Adult Dental - EPO
  • Clear Silver - EPO
  • Elite Bronze - EPO
  • Elite Bronze + Vision + Adult Dental - EPO
  • Elite Gold - EPO
  • Elite Gold + Vision + Adult Dental - EPO
  • Everyday Bronze - EPO
  • Everyday Bronze + Vision + Adult Dental - EPO
  • Everyday Gold - EPO
  • Everyday Gold + Vision + Adult Dental - EPO
  • Focused Silver - EPO
  • Complete Gold - HMO
  • Complete Gold + Vision + Adult Dental - HMO
  • Elite Bronze - HMO
  • Elite Bronze + Vision + Adult Dental - HMO
  • Elite Silver - HMO
  • Elite Silver + Vision + Adult Dental - HMO
  • Everyday Bronze - HMO
  • Everyday Bronze + Vision + Adult Dental - HMO
  • Everyday Gold - HMO
  • Everyday Gold + Vision + Adult Dental - HMO
  • Clear Gold - EPO
  • Clear Gold + Vision + Adult Dental - EPO
  • Complete Gold - EPO
  • Complete Gold + Vision + Adult Dental - EPO
  • Elite Silver - EPO
  • Elite Silver + Vision + Adult Dental - EPO
  • Everyday Bronze - EPO
  • Everyday Bronze + Vision + Adult Dental - EPO
  • Focused Silver - EPO
  • Focused Silver + Vision + Adult Dental - EPO
  • Central Bronze - HMO
  • Central Bronze + Vision + Adult Dental - HMO
  • Central Gold - HMO
  • Central Gold + Vision + Adult Dental - HMO
  • Clear Silver - HMO
  • Everyday Bronze - HMO
  • Everyday Bronze + Vision + Adult Dental - HMO
  • Everyday Gold - HMO
  • Everyday Gold + Vision + Adult Dental - HMO
  • Focused Silver - HMO
  • HeartlandBlue Bronze 0% Coinsurance after Deductible NEtwork Blue - EPO
  • HeartlandBlue Bronze 0% Coinsurance after Deductible NEtwork Blue PPO - PPO
  • HeartlandBlue Bronze 5000 Premier Select BlueChoice w/ Adult Vision - EPO
  • HeartlandBlue Bronze HSA 6500 NEtwork Blue - EPO
  • HeartlandBlue Bronze HSA 6500 NEtwork Blue PPO - PPO
  • HeartlandBlue Bronze HSA 6500 Premier Select BlueChoice - EPO
  • HeartlandBlue Bronze Standard 7500 NEtwork Blue - EPO
  • HeartlandBlue Bronze Standard 7500 NEtwork Blue PPO - PPO
  • HeartlandBlue Bronze Standard 7500 Premier Select BlueChoice - EPO
  • HeartlandBlue Gold $0 Deductible NEtwork Blue - EPO
  • Wellmark Bronze HDHP HMO HSA Qualified - HMO
  • Wellmark Bronze Standard | UnityPoint Health - HMO
  • Wellmark Bronze Traditional HMO - HMO
  • Wellmark Gold Primary Care | UnityPoint Health - HMO
  • Wellmark Gold Traditional HMO - HMO
  • Wellmark Silver Primary Care | UnityPoint Health - HMO
  • Wellmark Silver Traditional HMO - HMO
  • Wellmark Standard Bronze HMO - HMO
  • Wellmark Standard Gold HMO - HMO
  • Wellmark Standard Silver HMO - HMO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

STEPHEN PHENNEGER

Authorized Official Title
CFO
Authorized Official Phone
(651) 328-6934

Hospice Care Information

The Centers for Medicare and Medicaid Services Hospice Quality Reporting Program (HQRP) data provides information on the quality of care that hospice facilities are providing to their patients. The quality reporting data gives families and patients the information they need to decide which hospice is right for them.

CMS Certification Number (CCN)161607
Ownership TypeFor-Profit
Medicare Certification Date03-12-2015
Quality Measure Measure Score
Average Daily Census
Number of patients cared for by a hospice on average each day
28.0
Hospice served at least 1 patient with both Medicare and Medicaid coverage during one year
1= Hospice served at least 1 patient with both Medicaid and Medicare coverage OR 0 = Hospice did not serve any patients with both Medicaid and Medicare coverage
Yes
Hospice served at least 1 patient enrolled in Medicare Advantage during one year
1 = Hospice served at least one patient enrolled in Medicare Advantage OR 0 = Hospice did not serve any patients enrolled in Medicare Advantage
Yes
Care Provided in Assisted Living Facility
Percentage of days patients received care in an assisted living facility
8
Care Provided in Home
Percentage of days patients received care in home
16
Care Provided in Inpatient Hospice Facility
Percentage of days patients received care in an inpatient hospice
0 - Value is based on one year of data and does not indicate that the hospice would have 0% in more recent years.
Care Provided in Inpatient Hospital Facility
Percentage of days patients received care in an inpatient hospital
Not Available - Number of patients is too small to report.
Care Provided in Nursing Facility
Percentage of days patients received care in a nursing facility
74
Care Provided in All other locations
Percentage of days patients received care in other locations
Not Available - Number of patients is too small to report.
Care Provided in Skilled Nursing Facility
Percentage of days patients received care in a skilled nursing facility
Not Available - Number of patients is too small to report.
Hospice and Palliative Care Treatment Preferences
Facility observed rate
100.0
Beliefs & Values Addressed (if desired by the patient)
Facility observed rate
100.0
Hospice and Palliative Care Pain Screening
Facility observed rate
100.0
Hospice and Palliative Care Pain Assessment
Facility observed rate
100.0
Hospice and Palliative Care Dyspnea Screening
Facility observed rate
99.9
Hospice and Palliative Care Dyspnea Treatment
Facility observed rate
100.0
Patient Treated with an Opioid Who Are Given a Bowel Regimen
Facility observed rate
100.0
Hospice and Palliative Care Composite Process Measure
Facility observed rate
99.9
Hospice Visits in the Last Days of Life
987
Hospice Visits in the Last Days of Life
Facility observed rate
72.3
Hospice Care Index Overall Score
Facility observed rate
10.0
CHC/GIP provided (% days)
94,068
CHC/GIP provided (% days)
Facility observed rate
0.0
CHC/GIP provided (% days)
51
Gaps in nursing visits (% elections)
628
Gaps in nursing visits (% elections)
Facility observed rate
32.0
Gaps in nursing visits (% elections)
21
Early live discharges (% live discharges)
129
Early live discharges (% live discharges)
Facility observed rate
4.7
Early live discharges (% live discharges)
40
Late live discharges (% live discharges)
129
Late live discharges (% live discharges)
Facility observed rate
49.6
Late live discharges (% live discharges)
75
Burdensome transitions, Type 1(% live discharges)
129
Burdensome transitions, Type 1 (% live discharges)
Facility observed rate
7.0
Burdensome transitions, Type 1 (% live discharges)
51
Burdensome transitions, Type 2(% live discharges)
129
Burdensome transitions, Type 2 (% live discharges)
Facility observed rate
1.6
Burdensome transitions, Type 2 (% live discharges)
56
Per-beneficiary spending (U.S. dollars $)
1,432
Per-beneficiary spending (U.S. dollars $)
Facility observed rate
10,565
Per-beneficiary spending (U.S. dollars $)
16
Nurse care minutes per routine home care days (minutes)
93,932
Nurse care minutes per routine home care days (minutes)
Facility observed rate
15.5
Nurse care minutes per routine home care days (minutes)
79
Skilled nursing minutes on weekends (% minutes)
1,455,615
Skilled nursing minutes on weekends (% minutes)
Facility observed rate
8.9
Skilled nursing minutes on weekends (% minutes)
61
Visits near death (% decedents)
1,165
Visits near death (% decedents)
Facility observed rate
96.2
Visits near death (% decedents)
74
Percent of Patients with Cancer
Percentage of patients at hospice who had Cancer as their primary diagnosis
12
Percent of Patients with Circulatory/heart disease
Percentage of patients at hospice who had Circulatory Heart Disease as their primary diagnosis
21
Percent of Patients with Dementia
Percentage of patients at hospice who had Dementia as their primary diagnosis
21
Percent of Patients with Other Conditions
Percentage of patients at hospice who had some other conditions as their primary diagnosis
9
Percent of Patients with Respiratory disease
Percentage of patients at hospice who had Respiratory Disease as their primary diagnosis
Not Available - Number of patients is too small to report.
Percent of Patients with Stroke
Percentage of patients at hospice who had Stroke as their primary diagnosis
16
Provided Routine Home Care and other levels of care
Th hospice had at least one incidence of routine home care and at least one more incidence of care at another level. Blank: hospice only provided care at routine home care level
Yes
Provided Routine Home Care only
The hospice had at least one incidence of RHC over the 3 years, and no incidences of care at any other level. Blank: the hospice had at least one incidence of care at another level
No

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
26D2261451
Facility Type
Hospice
Certificate Effective Date
June 01, 2024
Certificate Expiration Date
May 31, 2026
Laboratory Director
RACHEL CHOATE
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to St Croix Hospice Llc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1659786259
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2610914812210
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 6 + 1 + 0 + 9 + 1 + 4 + 8 + 1 + 2 + 2 + 1 + 0 + 24 = 61
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 61 = 99

The NPI number 1659786259 is valid because the calculated check digit 9 using the Luhn validation algorithm matches the last digit of the original NPI number.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1659786259, enumerated in the NPI registry as an "organization" on June 23, 2014

The provider is located at 802 Lake St Ste 3 Spirit Lake, Ia 51360 and the phone number is (712) 264-5674

This medical organization specializes in Hospice Care, Community Based with taxonomy code 251G00000X

The provider might be accepting Accepts: Ambetter from Home State Health, Ambetter from. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

The provider's CLIA number is 26D2261451 for a "hospice" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria..

This NPI record was last updated on June 23, 2014. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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