Organization Active NPI

Moments Hospice of Des Moines LLC

  • Community Based Hospice Care Agency
  • Hiawatha, IA
National Provider Identifier
1750926481
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 DES MOINES LLC
Practice address
1450 Boyson Rd Ste B3
Hiawatha, IA 52233-2321
Phone
(833) 467-7423
Fax
(763) 205-9350
NPI assigned
Nov 18, 2019
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
(833) 467-7423

Specialties & licenses 1

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

Addresses

Primary practice location

1450 Boyson Rd Ste B3
Hiawatha, IA 52233-2321

Mailing address

820 Lilac Dr N Ste 210
Golden Valley, MN 55422-4754
Phone (763) 205-3600

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200109001477 IA Part A Provider - Hospice 4385079961 Practice locations: Hiawatha, IA

Hospice certification: CCN 161612

Legal name
MOMENTS HOSPICE OF DES MOINES LLC
Certification status
Active
Provider type (POS)
Hospice
Participating since
Nov 13, 2020
Last certification
Nov 13, 2020
Ownership / control type
Proprietary - Partnership
Organization structure
LLCProprietary
Enrollment address
1450 Boyson Rd
Ste B3
Hiawatha, IA 52233-2321

Care Compare: Hospice

Medicare Care Compare
Listed as
Moments Hospice of Des Moines LLCCCN 161612
Ownership
For-Profit
Certified
Nov 13, 2020
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory

Locations

1450 Boyson Rd
Ste B3
Hiawatha, IA 52233

Ownership & related parties

All disclosed owners & managing parties 5

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

NameRoleSinceShare
Dena Vipond Individual W-2 Managing Employee Apr 15, 2026
Eliyahu Jaffa Individual 5% Or Greater Direct Ownership InterestPresident Nov 13, 2019 100%
Kevin Wallace Stock Individual Operational/Managerial Control Nov 13, 2019
Eric J Stenberg Individual W-2 Managing EmployeeMD; Mar 1, 2026
Jennifer Cherie Adamek Individual W-2 Managing EmployeeAd; Aug 31, 2021
Operational/Managerial ControlAdministrator Aug 31, 2021 50%

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 5

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": "1574035200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1783382400000",
    "number": "1750926481",
    "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": "763-205-3600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1450 BOYSON RD STE B3",
            "city": "HIAWATHA",
            "state": "IA",
            "postal_code": "522332321",
            "telephone_number": "833-467-7423",
            "fax_number": "763-205-9350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOMENTS HOSPICE OF DES MOINES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-18",
        "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": "833-467-7423"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hiawatha, IA

Sources for this page

Verify at the official NPI Registry.