MOMENTS HOSPICE OF CHICAGO NORTH LLC – Community Based Hospice Care Agency, NPI 1659972727

MOMENTS HOSPICE OF CHICAGO NORTH LLC is a healthcare provider. based in Golden valley, Minnesota. specializing in Community Based Hospice Care Agency. The NPI Number for MOMENTS HOSPICE OF CHICAGO NORTH LLC is 1659972727

Main info

Organization
Name
MOMENTS HOSPICE OF CHICAGO NORTH LLC
NPI
1659972727
Phone
(612) 655-5242
Address
820 LILAC DR N STE 210
Authorized Official
ELIYAHU JAFFA PRESIDENT
Enumeration Date
5 November 2020
Last Update Date
21 September 2023
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience25
Completeness75
Years active:5State licenses:0Digital endpointsOther names

Provider Addresses for MOMENTS HOSPICE OF CHICAGO NORTH LLC

  • 820 LILAC DR N STE 210

    GOLDEN VALLEY, MN 554224754

    Phone: (612) 655-5242

    Type: Mailing

  • 2860 S RIVER RD STE 160

    DES PLAINES, IL 600186006

    Phone: (877) 666-3687

    Fax: (763) 205-3600

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2020-12-31

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
O20201231001568OHospiceILTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 55422)

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Reviews

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Frequently asked questions

Can I verify MOMENTS HOSPICE OF CHICAGO NORTH LLC with an NPI only?
You can start verification with NPI 1659972727 for MOMENTS HOSPICE OF CHICAGO NORTH LLC, then check state licensing separately.
Does CMS list MOMENTS HOSPICE OF CHICAGO NORTH LLC as active?
Yes — MOMENTS HOSPICE OF CHICAGO NORTH LLC is active in the NPI listing used on this page.
What is MOMENTS HOSPICE OF CHICAGO NORTH LLC's primary classification?
Community Based Hospice Care Agency is the headline specialty for MOMENTS HOSPICE OF CHICAGO NORTH LLC here. Clinical services aligned with this taxonomy classification.
Where should I expect MOMENTS HOSPICE OF CHICAGO NORTH LLC on a map?
Expect Golden Valley, Minnesota as a primary anchor for MOMENTS HOSPICE OF CHICAGO NORTH LLC unless the record lists multiple sites.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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