Organization · NPI-2

Cs Mi Opco LLC

Hospice Care, Community Based · Livonia, MI

NPI number1689304685
StatusActive
Last updated in NPPESMay 28, 2026

Details

NPI
1689304685
Entity type
Organization (NPI-2)
Legal business name
Cs Mi Opco LLC
Organization subpart
No
Enumeration date
Jun 13, 2022
Certification date
May 28, 2026
Last updated
May 28, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
251G00000X Hospice Care, Community Based––Yes

Other names

  • St Croix Hospice Plymouth (Doing Business As)

Practice location

17177 N Laurel Park Dr Ste 410
Livonia, MI 48152-3951

Phone 734-822-9433

Mailing address

1175 Centre Pointe Cir
Mendota Heights, MN 55120-5500

Phone 651-328-6934

Authorized official

Stephen Phenneger
Cfo And President
6125446133

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