MOMENTS HOSPICE OF ST CLOUD LLC NPI 1366907446

NPI Information

NPI: 1366907446
Provider Name: MOMENTS HOSPICE OF ST CLOUD LLC

Doing Business As: MOMENTS HOSPICE

Classification: Hospice Care, Community Based - 251G00000X
Entity Type: Organization

CLIA Number: 24D2193658

Address:
2229 ROOSEVELT RD STE 1
SAINT CLOUD, MN
ZIP 56301
Phone: (320) 372-4300
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MOMENTS HOSPICE OF ST CLOUD LLC is a hospice care community based in Saint Cloud, MN. MOMENTS HOSPICE OF ST CLOUD LLC NPI is 1366907446. The provider is registered as an organization entity type.
The provider Is Doing Business As Moments Hospice.

The provider's business location address is:

2229 ROOSEVELT RD STE 1
SAINT CLOUD, MN
ZIP 56301-147
Phone: (320) 372-4300

The provider's authorized official is Eliyahu Jaffa .
The authorized official title is Owner and has the following contact phone number (952) 220-6002.

The CLIA number assigned to this NPI record is 24D2193658 - hospice with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/4/2019 and was last updated on 11/17/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	251G00000X	Hospice Care, Community Based				Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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