NPIMap

Organization Active NPI

Moments Hospice of Chicago North LLC

  • Community Based Hospice Care Agency
  • Lincolnwood, IL
National Provider Identifier
1659972727
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 CHICAGO NORTH LLC
Practice address
7358 N Lincoln Ave Ste 130
Lincolnwood, IL 60712-1710
Phone
(877) 666-3687
Fax
(763) 205-3600
NPI assigned
Nov 5, 2020
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
President
Phone
(715) 800-0908

Specialties & licenses 1

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

Addresses

Primary practice location

7358 N Lincoln Ave Ste 130
Lincolnwood, IL 60712-1710

Mailing address

820 Lilac Dr N Ste 210
Golden Valley, MN 55422-4754
Phone (612) 655-5242

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20201231001568 IL Part A Provider - Hospice 2567875941 Practice locations: Des Plaines, IL

Hospice certification: CCN 141715

Legal name
MOMENTS HOSPICE OF CHICAGO NORTH LLC
Certification status
Active
Provider type (POS)
Hospice
Participating since
Oct 6, 2021
Last certification
Oct 6, 2021
Ownership / control type
Proprietary - Partnership
Organization structure
LLCProprietary
Incorporated
Oct 28, 2020 in IL
Enrollment address
2860 S River Rd
Ste 160
Des Plaines, IL 60018-6006

Care Compare: Hospice

Medicare Care Compare
Listed as
Moments Hospice of Chicago North LLCCCN 141715
Ownership
For-Profit
Certified
Oct 6, 2021
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory

Ownership & related parties

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.

NameRoleSinceShare
Shlomo Miller Individual 5% Or Greater Indirect Ownership Interest Nov 1, 2020 32.5%
Corporate OfficerCeo Oct 28, 2020 51%
Yosef Meystel Individual 5% Or Greater Indirect Ownership Interest Nov 1, 2020 11.5%
Eliyahu Jaffa Individual 5% Or Greater Indirect Ownership Interest Nov 1, 2020 32.5%
Operational/Managerial ControlPresident Nov 1, 2020 49%
Brandi L Bratsafolis Individual W-2 Managing EmployeeAd; Aug 1, 2024
Parag K Amin Individual W-2 Managing EmployeeMD; Aug 1, 2024
David Berkowitz Individual 5% Or Greater Indirect Ownership Interest Nov 1, 2020 11.5%
Joshua Hoffman Individual 5% Or Greater Indirect Ownership Interest Nov 1, 2020 5%
Meir Meystel Individual 5% Or Greater Indirect Ownership Interest Nov 1, 2020 6%
MH Hold Co LLC Organization, Golden Valley, MN LLC 5% Or Greater Direct Ownership Interest Nov 1, 2020 100%

Owners & managing parties with NPI records 1

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

Facilities with the same owner 1

Facilities that share an organizational owner with 5% or greater ownership or operational control.

Practitioners & affiliated clinicians

Affiliated clinicians 3

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

NPI Registry JSON

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

{
    "created_epoch": "1604534400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1783382400000",
    "number": "1659972727",
    "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": "7358 N LINCOLN AVE STE 130",
            "city": "LINCOLNWOOD",
            "state": "IL",
            "postal_code": "607121710",
            "telephone_number": "877-666-3687",
            "fax_number": "763-205-3600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOMENTS HOSPICE OF CHICAGO NORTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-05",
        "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": "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": []
}

Other providers in Lincolnwood, IL

Sources for this page

Verify at the official NPI Registry.