Moments Palliative Care LLC

Primary specialty

Geriatric Medicine (Family Medicine) PhysicianTaxonomy code 207QG0300X

Legal business name

MOMENTS PALLIATIVE CARE LLC

Practice address

820 Lilac Dr N Ste 210
Golden Valley, MN 55422-4754

Phone

(763) 205-3600

Fax

(702) 977-1496

NPI assigned

Feb 20, 2019

Last updated

Dec 11, 2024By the provider in NPPES

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

Owner

Phone

(952) 220-6002

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 1

Other NPIs with the same Medicare PAC ID 2

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Moments Palliative Care LLC

  • Hospice and Palliative Medicine (Internal Medicine) Physician
  • Miami Lakes, FL
  • NPI 1578253894

  0143561480

  Same PAC ID
• Moments Palliative Care LLC

  • Hospice and Palliative Medicine (Internal Medicine) Physician
  • Des Plaines, IL
  • NPI 1972290724

  0143561480

  Same PAC ID

Tax ID family

Moments Palliative Care LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Moments Palliative Care LLC

  • Hospice and Palliative Medicine (Internal Medicine) Physician
  • Miami Lakes, FL
  • NPI 1578253894
  NPD tax ID
• Moments Palliative Care LLC

  • Hospice and Palliative Medicine (Internal Medicine) Physician
  • Des Plaines, IL
  • NPI 1972290724
  NPD tax ID

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Joseph Judah Greenberg, M.D.

  • Internal Medicine Physician
  • St Louis Park, MN
  • NPI 1114169356

  Multi-Specialty

  Medicare reassignment NPD

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

{
    "created_epoch": "1550620800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733875200000",
    "number": "1942766423",
    "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",
            "fax_number": "702-977-1496"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "820 LILAC DR N STE 210",
            "city": "GOLDEN VALLEY",
            "state": "MN",
            "postal_code": "554224754",
            "telephone_number": "763-205-3600",
            "fax_number": "702-977-1496"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOMENTS PALLIATIVE CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-20",
        "last_updated": "2024-12-11",
        "certification_date": "2024-12-11",
        "status": "A",
        "authorized_official_last_name": "JAFFA",
        "authorized_official_first_name": "ELIYAHU",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "952-220-6002"
    },
    "taxonomies": [
        {
            "code": "207QG0300X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jacqueline Ann Moeller, PSYD, LP
• Nelly Mogeni
• Wafaa Hassan Mohamed
• Anab Said Mohamud
• Layla Muse Mohamud
• Monica L Mommsen, OTRL
• Hannah Monson
• Sallie E Montgomery, PSYD, LP
• Tristann Jamie Moren, LICSW
• Steven Francis Morgan, PH.D., LP

• Geriatric Medicine (Family Medicine) Physician in Golden Valley, MN
• Providers in Golden Valley, MN by specialty
• Geriatric Medicine (Family Medicine) Physician in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.