NPIMap

Organization Active NPI

Moments Hospice of St Cloud LLC

Doing business as Moments Hospice

  • Community Based Hospice Care Agency
  • Saint Cloud, MN
National Provider Identifier
1366907446
Registry record updated Jul 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
MOMENTS HOSPICE OF ST CLOUD LLC
Doing business as
Moments Hospice
Practice address
2229 Roosevelt Rd Ste 1
Saint Cloud, MN 56301-5147
Phone
(320) 372-4300
NPI assigned
Feb 4, 2019
Last updated
Jul 7, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Eliyahu Jaffa
Title
Owner
Phone
(833) 467-7423

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X Primary

Addresses

Primary practice location

2229 Roosevelt Rd Ste 1
Saint Cloud, MN 56301-5147

Mailing address

820 Lilac Dr N Ste 210
Golden Valley, MN 55422-4754
Phone (952) 220-6002

Other names 1

  • Moments Hospice Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190304000740 MN Part A Provider - Hospice 7517206857 Practice locations: Saint Cloud, MN; Brainerd, MN

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1366907446. Details of each certification follow.

Hospice certification: CCN 241608

Legal name
MOMENTS HOSPICE OF ST CLOUD LLC
Doing business as
MOMENTS HOSPICE
Certification status
Active
Provider type (POS)
Hospice
Participating since
Aug 14, 2019
Last certification
Aug 14, 2019
Ownership / control type
Proprietary - Individual
Organization structure
LLCProprietary
Incorporated
Dec 11, 2018 in MN
Enrollment address
2229 Roosevelt Rd
Ste 1
Saint Cloud, MN 56301-5147

Care Compare: Hospice

Medicare Care Compare
Listed as
Moments HospiceCCN 241608 · All quality measures
Ownership
For-Profit
Certified
Aug 14, 2019
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory

Locations

17021 Commercial Park Rd
Ste 8
Brainerd, MN 56401
Phone (320) 372-4300

1030 4th St SE
Ste 108
Saint Cloud, MN 56304
Phone (320) 372-4300

2229 Roosevelt Rd
Ste 1
Saint Cloud, MN 56301
Phone (320) 372-4300

Ownership & related parties

All disclosed owners & managing parties 3

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Travis Christopher Weber Individual W-2 Managing EmployeeHospice Administrator May 10, 2026
Eliyahu Jaffa Individual 5% Or Greater Direct Ownership InterestPresident Dec 11, 2018 100%
Joseph Spurlock Individual W-2 Managing EmployeeHospice Medical Director May 10, 2026

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Practitioners & affiliated clinicians

Affiliated clinicians 28

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 28

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1549238400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1783382400000",
    "number": "1366907446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "820 LILAC DR N STE 210",
            "city": "GOLDEN VALLEY",
            "state": "MN",
            "postal_code": "554224754",
            "telephone_number": "952-220-6002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2229 ROOSEVELT RD STE 1",
            "city": "SAINT CLOUD",
            "state": "MN",
            "postal_code": "563015147",
            "telephone_number": "320-372-4300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOMENTS HOSPICE OF ST CLOUD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-04",
        "last_updated": "2026-07-07",
        "certification_date": "2026-07-07",
        "status": "A",
        "authorized_official_last_name": "JAFFA",
        "authorized_official_first_name": "ELIYAHU",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "833-467-7423"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Moments Hospice",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Moments Hospice",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Saint Cloud, MN

Sources for this page

Verify at the official NPI Registry.