MOMENTS HOSPICE
NPI 1053865659
Hospice Care, Community Based in Golden Valley, MN

Active since August 11, 2016CLIA 24D2193661 · Waiver
820 LILAC DR N, GOLDEN VALLEY, MN 55422(763) 205-3600 Get Directions Write a Review

NPPES record last updated: September 21, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 27, 2020, Sep 27, 2018, Mar 17, 2018 and 2 more (5 updates tracked since 2016).

About Moments Hospice NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MOMENTS HOSPICE (NPI 1053865659) is a healthcare organization registered as a hospice care, community based in Golden Valley, Minnesota and active in the NPI registry since August 2016. The organization holds a CLIA Waiver certificate valid through September 22, 2026, maintains 2 additional practice locations, and lists Eliyahu Jaffa, President, as its authorized official.

NPPES Registry Identity

NPI1053865659
Entity TypeOrganization
Primary Taxonomy251G00000X
Legal Business NameGUARDIAN HOSPICE MN LLC
Location Address820 LILAC DR NGolden Valley, MN 55422-4700
Mailing Address820 Lilac Dr NGolden Valley, MN 55422-4700 · (763) 205-3600
Organization SubpartNo
Authorized OfficialEliyahu JaffaPresident · (715) 800-0908
Enumeration DateAugust 11, 2016
Last NPPES UpdateSeptember 21, 20235 updates tracked since enumeration
NPPES CertifiedSeptember 21, 2023
NPI 1053865659 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyHospice Care, Community BasedAgencies
Taxonomy Code251G00000X
License Licensed in MN · 32588
820 LILAC DR N, Golden Valley, MN 55422

Other Names 1

Doing Business AsMoments Hospice

Secondary Practice Locations 2

Location 12631 Quentin AveMinneapolis, MN 55416-1958 · Phone (612) 655-4242 ext. 54242
Location 2124 E Walnut St Ste 210Mankato, MN 56001-1125 · Phone (763) 205-3600

Other Identifiers 1

Other32588MN · State License

Accepted Insurance

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 24D2193661

Guardian Hospice Mn LLC Dba Moments Hospice · Golden Valley, MN
Active · expires Sep 22, 2026
CLIA Number24D2193661
Laboratory TypeHospice
Certificate Effective DateSeptember 23, 2024
Certificate Expiration DateSeptember 22, 2026
Laboratory DirectorMark Stannard
Laboratory Phone(763) 205-3600
Laboratory LocationGuardian Hospice Mn LLC Dba Moments Hospice820 Lilac Drive N Suite 210, Golden Valley, MN 55422
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Family)
820 LILAC DR N
GOLDEN VALLEY, MN 55422
Chiropractor
820 LILAC DR N, SUITE 165
GOLDEN VALLEY, MN 55422
Nurse Practitioner (Family)
820 LILAC DR N
GOLDEN VALLEY, MN 55422
Psychologist (Clinical Child & Adolescent)
820 LILAC DR N, SUITE 130
GOLDEN VALLEY, MN 55422
Case Management
820 LILAC DR N, SUITE 130
GOLDEN VALLEY, MN 55422

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Guardian Hospice Mn LLC's NPI number?

The NPI number for Guardian Hospice Mn LLC is 1053865659. It was assigned to this organization in the NPPES registry on August 11, 2016. The provider is doing business as Moments Hospice.

Where is Guardian Hospice Mn LLC located?

Guardian Hospice Mn LLC is located at 820 Lilac Dr N, Golden Valley, MN 55422. The listed phone number is (763) 205-3600.

What is Guardian Hospice Mn LLC's specialty?

The primary specialty registered for this NPI is Hospice Care, Community Based with taxonomy code 251G00000X.

Does Guardian Hospice Mn LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 24D2193661) is associated with this NPI, valid through September 22, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Guardian Hospice Mn LLC accept?

Health plans from HealthPartners list Guardian Hospice Mn LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Guardian Hospice Mn LLC was last updated on September 21, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.