Moments Hospice of Kankakee LLC

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

MOMENTS HOSPICE OF KANKAKEE LLC

Practice address

1 Dearborn SQ Ste 550
Kankakee, IL 60901-3929

Phone

(877) 766-6368

Fax

(763) 205-9350

NPI assigned

Jul 24, 2023

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

President

Phone

(715) 800-0908

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Hospice certification: CCN 141750

Legal name

MOMENTS HOSPICE OF KANKAKEE LLC

Certification status

Active

Provider type (POS)

Hospice

Participating since

Sep 25, 2025

Last certification

Sep 4, 2025

Organization structure

LLCProprietary

Enrollment address

1 Dearborn SQ
Ste 550
Kankakee, IL 60901-3929

Locations

All disclosed owners & managing parties 9

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.

• Parag Kiran Amin, DO

  • Internal Medicine Physician
  • McHenry, IL
  • NPI 1639107667

  Contracted Managing Employee

  CMS ownership

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

{
    "created_epoch": "1690156800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1695254400000",
    "number": "1376223412",
    "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": "612-655-5242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 DEARBORN SQ STE 550",
            "city": "KANKAKEE",
            "state": "IL",
            "postal_code": "609013929",
            "telephone_number": "877-766-6368",
            "fax_number": "763-205-9350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOMENTS HOSPICE OF KANKAKEE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-24",
        "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": "PRESIDENT",
        "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": []
}

• Holly Joann Milton
• Misbah Uddin Ahmed MD SC
• John A Mitchell, MD
• William G Mitsos, DDS
• Patrick Ndibe Mogbo, PHARM.D.
• Adam Joseph Moody, PTA
• Timothy Moran, M.D.
• Douglas Jay Morr, MD
• Sherri B Morrison, PA
• Lashunn Morrow, OTA

• Community Based Hospice Care Agency in Kankakee, IL
• Providers in Kankakee, IL by specialty
• Community Based Hospice Care Agency in Illinois

• 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.