ST CROIX HOSPICE LLC (NPI# 1619536620) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619536620 |
| Entity Type | Organization |
| Organization Name | ST CROIX HOSPICE LLC |
| Practice Address |
17645 Juniper Path Ste 155 Lakeville MN 55044-7577 |
| Mailing Address |
7755 3rd St N Ste 200 Oakdale MN 55128-5461 |
| Practice Telephone | 9528981022 |
| Practice Fax Number | 9528984006 |
| Mailing Telephone | 6517353656 |
| Mailing Fax Number | 6517350155 |
| Enumeration Date | 2019-06-12 |
| Last Update Date | 2019-06-12 |
| Authorized Official Name | HEATH A BARTNESS (CEO) |
| Authorized Official Telephone | 6517353656 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251G00000X | Hospice Care, Community Based | Agencies |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770142762 | St Croix Hospice LLC | Hospice Care, Community Based | 1001 S Pokegama Ave Ste D, Grand Rapids, MN 55744-3919 | 2019-06-12 |
| 1659786259 | St Croix Hospice LLC | Hospice Care, Community Based | 1015 S Grand Ave, Spencer, IA 51301-5722 | 2014-06-23 |
| 1093128431 | St Croix Hospice LLC | Hospice Care, Community Based | 302 N Grand Ave Ste 5, Charles City, IA 50616-2817 | 2014-06-03 |
| 1841601952 | St Croix Hospice LLC | Hospice Care, Community Based | 1280 W Clairemont Ave Ste 4, Eau Claire, WI 54701-5212 | 2014-05-12 |
| 1689090326 | St Croix Hospice LLC | Hospice Care, Community Based | 101 Elkader St, Strawberry Point, IA 52076-9423 | 2014-03-05 |
| 1922438118 | St Croix Hospice LLC | Hospice Care, Community Based | 708 Oregon St, Hiawatha, KS 66434-2232 | 2013-11-25 |
| 1871840975 | St Croix Hospice LLC | Hospice Care, Community Based | 1920 Rue St Ste 3, Council Bluffs, IA 51503-3601 | 2012-08-07 |
| 1114273828 | St Croix Hospice LLC | Hospice Care, Community Based | 1555 Se Delaware Ave Ste Q, Ankeny, IA 50021-4011 | 2012-07-31 |
| 1508018185 | St Croix Hospice LLC | Hospice Care, Community Based | 7200 Hudson Blvd N Ste 100, Oakdale, MN 55128-7098 | 2008-10-15 |
| 1740553940 | St Croix Hospice LLC | Hospice Care, Community Based | 11207 W Dodge Rd Ste 250, Omaha, NE 68154-2650 | 2012-02-17 |
| Street Address |
17645 JUNIPER PATH STE 155 |
| City | LAKEVILLE |
| State | MN |
| Zip Code | 55044-7577 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518528397 | Fairview Pharmacy Services LLC | Non-Pharmacy Dispensing Site | Fairview Lakeville Clinic Mtm, 18580 Joplin Ave, Lakeville, MN 55044 | 2019-06-24 |
| 1164922373 | Invigorate Chiropractic, Pa | Chiropractor | 18449 Orchard Trail, Lakeville, MN 55044 | 2018-02-14 |
| 1275046344 | Kevin Schultz | Chiropractor | 18449 Orchard Tr, Lakeville, MN 55044 | 2017-11-13 |
| 1518487263 | Katarina Klementina Foster | Dentist | 16138 Pilot Knob Rd, Lakeville, MN 55044 | 2017-06-23 |
| 1275069676 | Alison Marie Weaver | Physical Therapist | 17599 Kenwood Trl Ste 200, Lakeville, MN 55044 | 2017-05-04 |
| 1184177479 | Megan Erickson | Physical Therapist | 21034 Heron Way Ste 102, Lakeville, MN 55044 | 2016-08-03 |
| 1669827523 | Kristine Louise Duhamel | Nurse Practitioner | 18275 Kenrick Avenue, Lakeville, MN 55044 | 2016-04-28 |
| 1003281536 | Heather Leann Wegner | Counselor | 16233 Kenyon Ave, Lakeville, MN 55044 | 2015-12-09 |
| 1982081295 | Dana Bungert | Specialist/Technologist | 11060 Upper 167th St W, Lakeville, MN 55044 | 2015-05-06 |
| 1265834931 | Kayla Schulz | Counselor | 7535 165th St West, Lakeville, MN 55044 | 2014-09-24 |
| Find all providers in zip 55044 | ||||
| Taxonomy Code | 251G00000X |
| Grouping | Agencies |
| Classification | Hospice Care, Community Based |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891066239 | Minnesota Hospice LLC | Hospice Care, Community Based | 17645 Juniper Path, Suite 155, Lakeville, MN 55044-7490 | 2012-01-17 |
| 1811182140 | Hospice Homes and Suites Inc | Hospice Care, Community Based | 18472 Kenyon Avenue, Lakeville, MN 55044-6911 | 2007-09-10 |
| 1578864377 | Athena Hospice Services of Massachusetts, LLC | Hospice Care, Community Based | 10 Riverside Dr Ste 201, Lakeville, MA 02347-1689 | 2010-11-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295350379 | Minnesota Care Services LLC | Hospice Care, Community Based | 2447 County Road B W Apt 1, Roseville, MN 55113-3867 | 2020-06-14 |
| 1922628700 | Brian Phillip St John | Hospice Care, Community Based | 100 Rev Dr Matin Luther Kingjr Blvd Suite 180, Saint Paul, MN 55155-0001 | 2020-04-21 |
| 1114576279 | Moments Hospice of Duluth LLC | Hospice Care, Community Based | 4897 Miller Trunk Hwy Ste 220, Hermantown, MN 55811-1936 | 2019-09-10 |
| 1770142762 | St Croix Hospice LLC | Hospice Care, Community Based | 1001 S Pokegama Ave Ste D, Grand Rapids, MN 55744-3919 | 2019-06-12 |
| 1073177986 | Hospice of Minnesota, LLC | Hospice Care, Community Based | 404 W Superior St Ste 290, Duluth, MN 55802-1504 | 2019-04-25 |
| 1336702000 | Elite Quality Services, LLC | Hospice Care, Community Based | 3555 Main St Ne, Minneapolis, MN 55418-1144 | 2019-04-18 |
| 1376008441 | Moments Hospice of Rochester LLC | Hospice Care, Community Based | 1816 2nd St Sw Ste B, Rochester, MN 55902-0819 | 2019-02-04 |
| 1366907446 | Moments Hospice of St Cloud LLC | Hospice Care, Community Based | 1030 4th St Se Ste 108, Saint Cloud, MN 56304-1217 | 2019-02-04 |
| 1174005953 | Carris Health - Redwood LLC | Hospice Care, Community Based | 1110 E Bridge St, Redwood Falls, MN 56283-1808 | 2018-08-29 |
| 1669909818 | Mercy Home Care Ltd | Hospice Care, Community Based | 1020 E 146th St Ste 220d, Burnsville, MN 55337 | 2017-05-18 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.