Organization
ADAPTIVE HOSPICE LLC
Active
Other names
St Croix Hospice
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHEN PHENNEGER (CFO AND PRESIDENT)
(612) 544-6133
Entity
Organization
Contact information
Practice address
8844 RUFFIAN LN STE A, NEWBURGH, IN 47630-3404
(812) 250-9094
Mailing address
1175 CENTRE POINTE CIR, MENDOTA HEIGHTS, MN 55120-5500
(651) 328-6934
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
—
—
Other
Enumeration date
03/05/2021
Last updated
05/21/2026
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