MOMENTS HOSPICE OF ST CLOUD LLC (NPI# 1366907446) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366907446 |
| Entity Type | Organization |
| Organization Name | MOMENTS HOSPICE OF ST CLOUD LLC |
| Other Organization Name | MOMENTS HOSPICE |
| Practice Address |
1030 4th St Se Ste 108 Saint Cloud MN 56304-1217 |
| Mailing Address |
820 Lilac Dr N Ste 210 Golden Valley MN 55422-4754 |
| Practice Telephone | 3203724300 |
| Mailing Telephone | 9522206002 |
| Enumeration Date | 2019-02-04 |
| Last Update Date | 2020-02-27 |
| Authorized Official Name | ELIYAHU JAFFA (OWNER) |
| Authorized Official Telephone | 9522206002 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251G00000X | Hospice Care, Community Based | Agencies |
| Other Name | Type Code |
|---|---|
| Moments Hospice | Doing Business As Name - Organization |
| Street Address |
1030 4TH ST SE STE 108 |
| City | SAINT CLOUD |
| State | MN |
| Zip Code | 56304-1217 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316597701 | Liza Aberle | Naturopath | 22 Wilson Ave Ne # 205, Saint Cloud, MN 56304 | 2019-09-17 |
| 1902386089 | Jd Home Health Care | Clinic/Center | 4896 52nd St, St. Cloud, MN 56304 | 2018-08-17 |
| 1861490690 | Julia Anna Blonigen | Speech-Language Pathologist | 1882 Kilian Blvd, St Cloud, MN 56304 | 2005-07-14 |
| 1700111705 | St. Cloud Metropolitan Transit Commission | Non-emergency Medical Transport (VAN) | 665 Franklin Ave Ne, Saint Cloud, MN 56304-0225 | 2009-10-08 |
| 1053364976 | In Home Health LLC | Home Health | 605 Franklin Ave Ne, Saint Cloud, MN 56304-0225 | 2006-05-19 |
| 1376946806 | Charity Anne Hans | Social Worker | 511 3rd St Ne, Saint Cloud, MN 56304-0311 | 2014-09-29 |
| 1568082428 | Cloud Home Health Care Services LLC | Clinic/Center | 22 Wilson Ave Ne Ste 208, Saint Cloud, MN 56304-0440 | 2020-04-21 |
| 1326688417 | Sunshine Care Services Inc | In Home Supportive Care | 22 Wilson Ave Ne Ste 15, Saint Cloud, MN 56304-0440 | 2020-01-07 |
| 1295039204 | Rose Melinda Stark-rose | Psychologist | 22 Wilson Ave Ne # 110, Saint Cloud, MN 56304-0440 | 2011-01-05 |
| 1750448478 | Robin Stacey Colburn | Advanced Practice Midwife | 22 Wilson Ave Ne Ste 205, Saint Cloud, MN 56304-0440 | 2007-01-02 |
| Find all providers in zip 56304 | ||||
| Taxonomy Code | 251G00000X |
| Grouping | Agencies |
| Classification | Hospice Care, Community Based |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295350379 | Minnesota Care Services LLC | Hospice Care, Community Based | 2447 County Road B W Apt 1, Roseville, MN 55113-3867 | 2020-06-14 |
| 1922628700 | Brian Phillip St John | Hospice Care, Community Based | 100 Rev Dr Matin Luther Kingjr Blvd Suite 180, Saint Paul, MN 55155-0001 | 2020-04-21 |
| 1114576279 | Moments Hospice of Duluth LLC | Hospice Care, Community Based | 4897 Miller Trunk Hwy Ste 220, Hermantown, MN 55811-1936 | 2019-09-10 |
| 1770142762 | St Croix Hospice LLC | Hospice Care, Community Based | 1001 S Pokegama Ave Ste D, Grand Rapids, MN 55744-3919 | 2019-06-12 |
| 1619536620 | St Croix Hospice LLC | Hospice Care, Community Based | 17645 Juniper Path Ste 155, Lakeville, MN 55044-7577 | 2019-06-12 |
| 1073177986 | Hospice of Minnesota, LLC | Hospice Care, Community Based | 404 W Superior St Ste 290, Duluth, MN 55802-1504 | 2019-04-25 |
| 1336702000 | Elite Quality Services, LLC | Hospice Care, Community Based | 3555 Main St Ne, Minneapolis, MN 55418-1144 | 2019-04-18 |
| 1376008441 | Moments Hospice of Rochester LLC | Hospice Care, Community Based | 1816 2nd St Sw Ste B, Rochester, MN 55902-0819 | 2019-02-04 |
| 1174005953 | Carris Health - Redwood LLC | Hospice Care, Community Based | 1110 E Bridge St, Redwood Falls, MN 56283-1808 | 2018-08-29 |
| 1669909818 | Mercy Home Care Ltd | Hospice Care, Community Based | 1020 E 146th St Ste 220d, Burnsville, MN 55337 | 2017-05-18 |
| Find all providers with the same taxonomy | ||||
| City | SAINT CLOUD |
| Zip Code | 56304 |
Please comment or provide details below to improve the information on MOMENTS HOSPICE OF ST CLOUD LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.