Active NPI
Moments Hospice of Des Moines LLC
- Community Based Hospice Care Agency
- Hiawatha, IA
National Provider Identifier
1750926481
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Based Hospice Care Agency
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
- LLC
- Enrollment address
- 1450 Boyson Rd
Ste B3
Hiawatha, IA 52233-2321
Care Compare: Hospice
Medicare Care Compare- Listed as
- Moments Hospice of Des Moines LLC
- Ownership
- For-Profit
- Certified
- Nov 13, 2020
- Medicare certification status
- Active
National Provider Directory
National Provider DirectoryLocations
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.
| Name | Role | Since | Share |
|---|---|---|---|
| Dena Vipond | W-2 Managing Employee | Apr 15, 2026 | |
| Eliyahu Jaffa | 5% Or Greater Direct Ownership Interest | Nov 13, 2019 | 100% |
| Kevin Wallace Stock | Operational/Managerial Control | Nov 13, 2019 | |
| Eric J Stenberg | W-2 Managing Employee | Mar 1, 2026 | |
| Jennifer Cherie Adamek | W-2 Managing Employee | Aug 31, 2021 | |
| Operational/Managerial Control | 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.
-
- Physical Medicine & Rehabilitation Physician
- Cedar Rapids, IA
- NPI 1003053653
Hospice
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2026; 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.