Stch Moose Lake Opco LLC
NPI 1982463139ActiveOrganization· Hospice Care, Community Based· Moose Lake, MN
Hospice Care, Community Based in Moose Lake, Minnesota, registered in NPPES in March 2024. The authorized official on file is Stephen Phenneger, Cfo And President. Enrolled in Medicare as part a provider - hospice.
Overview
| NPI | 1982463139 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Mar 18, 2024 |
| Last updated in NPPES | May 27, 2026 |
| Certified by provider | May 27, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Hospice Care, Community Based Primary | 251G00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part A Provider - Hospice (MN) |
|---|
Other hospice agencies in Moose Lake
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