MOMENTS PALLIATIVE CARE LLC
NPI 1942766423
Family Medicine - Geriatric Medicine in Golden Valley, MN

Active since February 20, 2019
820 LILAC DR N STE 210, GOLDEN VALLEY, MN 55422(763) 205-3600(702) 977-1496 Get Directions Write a Review

NPPES record last updated: December 11, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Dec 11, 2024, Feb 27, 2020, Feb 20, 2019 (3 updates tracked since 2019).

About Moments Palliative Care Llc NPPES

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

MOMENTS PALLIATIVE CARE LLC (NPI 1942766423) is a healthcare organization registered as a geriatric medicine in Golden Valley, Minnesota and active in the NPI registry since February 2019. The organization lists Eliyahu Jaffa, Owner, as its authorized official.

NPPES Registry Identity

NPI1942766423
Entity TypeOrganization
Primary Taxonomy207QG0300X
Legal Business NameMOMENTS PALLIATIVE CARE LLC
Location Address820 LILAC DR N STE 210Golden Valley, MN 55422-4754
Mailing Address820 Lilac Dr N Ste 210Golden Valley, MN 55422-4754 · (763) 205-3600 · Fax (702) 977-1496
Fax(702) 977-1496
Organization SubpartNo
Authorized OfficialEliyahu JaffaOwner · (952) 220-6002
Enumeration DateFebruary 20, 2019
Last NPPES UpdateDecember 11, 20243 updates tracked since enumeration
NPPES CertifiedDecember 11, 2024
✔ NPI 1942766423 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily Medicine · Geriatric MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207QG0300X
Definition
A family medicine physician with special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes, and the hospital.
820 LILAC DR N STE 210, Golden Valley, MN 55422

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Moments Palliative Care Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Moments Palliative Care LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

General Practice
NPI 1114169356
5115 EXCELSIOR BLVD STE 712
St Louis Park, MN 55416
(702) 964-1525
✔ PECOS3.8 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Moments Palliative Care LLC's NPI number?

The NPI number for Moments Palliative Care LLC is 1942766423. It was assigned to this organization in the NPPES registry on February 20, 2019.

Where is Moments Palliative Care LLC located?

Moments Palliative Care LLC is located at 820 Lilac Dr N Ste 210, Golden Valley, MN 55422. The listed phone number is (763) 205-3600.

What is Moments Palliative Care LLC's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Geriatric Medicine, with taxonomy code 207QG0300X.

Is Moments Palliative Care LLC enrolled in Medicare?

Yes. Moments Palliative Care LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Moments Palliative Care LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (General Practice) reassigns their Medicare billing to Moments Palliative Care LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Moments Palliative Care LLC was last updated on December 11, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months 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.