Moments Hospice & Palliative Care Inc

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

MOMENTS HOSPICE & PALLIATIVE CARE INC

Practice address

13015 Frank LN
Stafford, TX 77477-4511

Phone

(281) 301-0641

Fax

(281) 301-1462

NPI assigned

Nov 7, 2019

Organization subpart

No

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

Authorized official

Name

Vanessa Johns

Title

Administrator/Don

Phone

(281) 301-0641

Specialties & licenses 1

Addresses

Other names 1

• Moments Hospice and Palliative Care Doing business as

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Hospice certification: CCN 741775

Legal name

MOMENTS HOSPICE & PALLIATIVE CARE, INC

Certification status

Active

Provider type (POS)

Hospice

Participating since

Jan 25, 2019

Last certification

Apr 29, 2022

Ownership / control type

Proprietary - Corporation

Organization structure

CorporationProprietary

Enrollment address

13015 Frank LN
Stafford, TX 77477-4511

Listed as

Moments Hospice and Palliative CareCCN 741775

Ownership

For-Profit

Certified

Jan 25, 2019

Medicare certification status

ActiveFrom the Provider of Services file

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

All disclosed owners & managing parties 2

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

Owners & managing parties with NPI records 1

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

• Hameed Q Ali, D. O.

  • Internal Medicine Physician
  • Temple, TX
  • NPI 1104974955

  Contracted Managing Employee

  CMS ownership

Change-of-ownership history 1

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

{
    "created_epoch": "1573084800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1671408000000",
    "number": "1982249520",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13015 FRANK LN",
            "city": "STAFFORD",
            "state": "TX",
            "postal_code": "774774511",
            "telephone_number": "281-301-0641",
            "fax_number": "281-301-1462"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13015 FRANK LN",
            "city": "STAFFORD",
            "state": "TX",
            "postal_code": "774774511",
            "telephone_number": "281-301-0641",
            "fax_number": "281-301-1462"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOMENTS HOSPICE & PALLIATIVE CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-07",
        "last_updated": "2022-12-19",
        "certification_date": "2022-12-19",
        "status": "A",
        "authorized_official_last_name": "JOHNS",
        "authorized_official_first_name": "VANESSA",
        "authorized_official_title_or_position": "ADMINISTRATOR/DON",
        "authorized_official_telephone_number": "281-301-0641"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Moments Hospice and Palliative Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Modern Optical
• Mariam Mojisola Mogaji
• Asma Mohammad
• Shukri Mohamed Mohamoud, BCBA
• Devipriya Mohan, PHARMD
• Anusheh Momin
• Kandece Money, LPC
• Susan Elizabeth Monk, RN
• Annabelle Montalvo
• Latasha Monae Montes, CMA

• Community Based Hospice Care Agency in Stafford, TX
• Providers in Stafford, TX by specialty
• Community Based Hospice Care Agency in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2022; 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.

Verify at the official NPI Registry.