| Organization Name: | ST. CROIX HOSPICE, LLC |
| NPI Number: | 1740553940 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | HEATH A. BARTNESS (CEO) |
| Mailing Address: | 11207 W Dodge Rd Suite 250 Omaha |
| State: | NE US |
| Postal Code: | 681542605 |
| Phone Number: | 4026094818 |
| Fax Number: | 4025024567 |
| NPI Enumeration Date: | 02/17/2012 |
| NPI Last Update Date: | 10/23/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 251G00000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Agencies |
| Taxonomy Classification: | Hospice Care, Community Based |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |