Moments Hospice of Rochester LLC

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

MOMENTS HOSPICE OF ROCHESTER LLC

Doing business as

moments hospice

Practice address

1816 2ND St SW Ste B
Rochester, MN 55902-0819

Phone

(507) 888-9700

Fax

(763) 205-3600

NPI assigned

Feb 4, 2019

Organization subpart

No

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

Authorized official

Name

Eliyahu Jaffa

Title

Owner

Phone

(715) 800-0908

Specialties & licenses 1

Addresses

Other names 1

• moments hospice Doing business as

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 1

Hospice certification: CCN 241607

Legal name

MOMENTS HOSPICE OF ROCHESTER LLC

Certification status

Active

Provider type (POS)

Hospice

Participating since

Aug 23, 2019

Last certification

Aug 23, 2019

Ownership / control type

Proprietary - Individual

Organization structure

LLCProprietary

Incorporated

Dec 11, 2018 in MN

Enrollment address

1812 2ND St SW
Ste B
Rochester, MN 55902-4127

Listed as

Moments HospiceCCN 241607

Ownership

For-Profit

Certified

Aug 23, 2019

Medicare certification status

ActiveFrom the Provider of Services file

Locations

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.

Owners & managing parties with NPI records 1

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

• Joseph Judah Greenberg, M.D.

  • Internal Medicine Physician
  • St Louis Park, MN
  • NPI 1114169356

  W-2 Managing Employee

  CMS ownership

Affiliated clinicians 2

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

• Matthew Francis Howard Beeson, MD

  • Internal Medicine Physician
  • Minneapolis, MN
  • NPI 1639457419

  Hospice

  Care Compare affiliation
• Hillary Moen Fitzgerald, MD

  • Family Medicine Physician
  • Rochester, MN
  • NPI 1538522297

  Hospice

  Care Compare affiliation

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

{
    "created_epoch": "1549238400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1695254400000",
    "number": "1376008441",
    "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": "1816 2ND ST SW STE B",
            "city": "ROCHESTER",
            "state": "MN",
            "postal_code": "559020819",
            "telephone_number": "507-888-9700",
            "fax_number": "763-205-3600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOMENTS HOSPICE OF ROCHESTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-04",
        "last_updated": "2023-09-21",
        "certification_date": "2023-09-21",
        "status": "A",
        "authorized_official_last_name": "JAFFA",
        "authorized_official_first_name": "ELIYAHU",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "715-800-0908"
    },
    "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"
        }
    ]
}

• Sofia Molina Garcia, MD
• Mariel Iveth Molina Nunez, MD
• Julian R Molina, M.D.
• Jeremiah Francis Dang Molligan, MD
• Morganne E Molseed
• Lilian Monari, CRNA
• Sara B Moncrief, MD
• Patrizia Mondello, MD, PHD, MSC
• Julie A Monette
• Francois-Pierre Mongeon, MD

• Community Based Hospice Care Agency in Rochester, MN
• Providers in Rochester, MN by specialty
• Community Based Hospice Care Agency in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.