ST CROIX HOSPICE LLC NPI 1376127548

NPI Information

  • NPI: 1376127548
  • Provider Name: ST CROIX HOSPICE LLC
  • Classification: Hospice Care, Community Based - 251G00000X
  • Entity Type: Organization
  • CLIA Number: 24D2228059
  • Address: 7830 MAIN ST N STE 210
    MAPLE GROVE, MN
    ZIP 55369
  • Phone: (763) 244-2274

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NPI Details

ST CROIX HOSPICE LLC is a hospice care community based in Maple Grove, MN. ST CROIX HOSPICE LLC NPI is 1376127548. The provider is registered as an organization entity type.

The provider's business location address is:

7830 MAIN ST N STE 210
MAPLE GROVE, MN
ZIP 55369-069
Phone: (763) 244-2274

The provider's authorized official is Kimberly A Olson .
The authorized official title is Cco and has the following contact phone number (651) 237-9716.

The CLIA number assigned to this NPI record is 24D2228059 - hospice with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/12/2021 and was last updated on 5/12/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1251G00000XHospice Care, Community BasedYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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