Moments Hospice of Fort Wayne LLC

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

MOMENTS HOSPICE OF FORT WAYNE LLC

Practice address

7230 Engle Rd Ste 210
Fort Wayne, IN 46804-2234

Phone

(877) 666-3687

Fax

(763) 205-9350

NPI assigned

Apr 22, 2025

Organization subpart

No

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

Authorized official

Name

Mr. Eliyahu Jaffa

Title

President

Phone

(877) 666-3687

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1745280000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1745280000000",
    "number": "1700673944",
    "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": "877-666-3687"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7230 ENGLE RD STE 210",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468042234",
            "telephone_number": "877-666-3687",
            "fax_number": "763-205-9350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOMENTS HOSPICE OF FORT WAYNE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-04-22",
        "last_updated": "2025-04-22",
        "certification_date": "2025-04-22",
        "status": "A",
        "authorized_official_last_name": "JAFFA",
        "authorized_official_first_name": "ELIYAHU",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "877-666-3687",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Saria Mohamed Alshareef Mokhtar
• Britani Diane Molargik, FNP-BC
• Jessica Molina
• Andrea Leigh Moll, PA
• Kristen A Momenee, NP
• Olufunke Patience Momoh, DNP, FNP-C, PMHNP-BC
• San Cho Mon
• Monarca Counseling LLC
• Austin Thomas Mondloch, PHARMD
• Venkata S Moningi, M.B.B.S

• Community Based Hospice Care Agency in Fort Wayne, IN
• Providers in Fort Wayne, IN by specialty
• Community Based Hospice Care Agency in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.