Moments Hospice



  
4897 Miller Trunk Highway #220, Hermantown
Minnesota, 55811

 (21-8) -520-0870   Maps & Directions
Moments Hospice, also known as Moments Hospice is a hospice care center situated at Hermantown, Minnesota. This palliative care is medicare certified, hence if you are covered by medicare, medicare will pay the hospice for your care. Moments Hospice accommodated approx. 133 Medicare beneficiaries whose average age was 84 years in CY2022. Unique hospice identification number provided by medicare to this hospice care is 241609. Moments Hospice comes under the CMS regional office located at Chicago. This CMS regional office covers all hospices located in Illinois, Indiana, Michigan, Minnesota, Ohio, Wisconsin. Services provided at Moments Hospice mainly includes home health aide, counseling, medical social services, medical supply services, nursing services, occupational therapy, other, physician services, physical therapy, short term inpatient care, speech pathology services.
Moments Hospice provides special care for people who are terminally ill. This involves a team-oriented approach that addresses the medical, physical, social, emotional, and spiritual needs of the patient. Hospice also provides support to the patient’s family or caregiver.


Complete Hospice Profile:
Moments Hospice type, unique identification code, ownership type, accreditation,short term inpatient care type, address, contact number, fax number and all other information is provided as below. Recipients can directly walkin or can call on the below given phone number for appointment.
Hospice ID (CCN) 241609
Hospice’s Ownership Type:For-Profit (07 Proprietary - Other)
Accreditation Community Health Accreditation Partner (CHAP)
Hospice Address:4897 Miller Trunk Highway #220, Hermantown,
Minnesota, 55811
County:St. Louis
Phone:(21-8) -520-0870
CMS Regional Office Chicago
Medicare Certification:
Medicare certification details of Moments Hospice with certification date, type, current status, certification provider, MAC, CBSA Code are stated below.
Medicare Certified:Yes
Medicare Certification Date:23 Apr, 2020
Current Status: Active Provider
Latest visit of the Health or LSC survey: 23 Apr, 2020
Certificate Provider: CMS Regional Office
CBSA Code 20260 (Urban)
Federal Certification Status Certified (as on 01 Apr, 2024)
National Hospice Spending and Utilization (2022):
National Hospice Spending and Utilization based on FY 2022 for Moments Hospice are stated below it includes number of beneficiaries, average age of beneficiaries accommodated in hospice, total medicare payment amount received by hospice, total charge amount of the hospice.
Beneficiaries 133
RHC Days (in %) 100
Episode or Stay Count 140
Total Nursing Minutes 247230 Minutes (4120.5 Hours)
Days of Service 8,877
Average Age of Beneficiary 84 year
Average Risk Score of Beneficiaries 2.48
Total Medicare Payment Amount $ 1,563,657
Total Medicare Standard Payment Amount $ 1,594,516
Total Medicare Allowed Payment Amount $ 1,563,657
Total Charge Amount $ 2,152,122

Average Hospice Visit Count


Moments Hospice have 3190 skilled nursing visits, 590 social work visits and 3387 Number of home health aide visits provided by the home health agency or hospice.


Beneficiaries by Gender


Moments Hospice rendered hospice services to 43% Male and 57% Female Medicare beneficiaries in a Fiscal year.

Beneficiaries by Race


Moments Hospice provided hospice care to 96% White, 5% not disclosed Medicare beneficiaries in a Fiscal year.

Medicare/Medicaid Eligible Beneficiaries


At Moments Hospice, 52% of Medicare beneficiaries qualified to receive Medicare and Medicaid benefits, (also be referred to as dual eligibility). Beneficiaries are classified as a dual if in any month in the given calendar year they were receiving full or partial Medicaid benefits.


Beneficiaries with Primary Disease Diagnosis

At Moments Hospice, distinct Medicare beneficiaries who received hospice care for a primary diagnosis are 13 of Neoplasms & Diseases of the Blood and Blood forming organs, 39 of Diseases of the Nervous System, 34 of Diseases of the Circulatory System,

Services Provided:
Services available at Moments Hospice are mentioned below along with the information that who will provide the service like whether it will be provided by hospice staff or will be arranged from any 3rd source or outer source.
Services AvailableProvided By
Home Health AideHospice Staff
CounselingHospice Staff
Medical Social ServicesHospice Staff
Medical Supply ServicesProvided under Arrangement
Nursing ServicesHospice Staff
Occupational TherapyProvided under Arrangement
OtherProvided under Arrangement
Physician ServicesProvided under Arrangement
Physical TherapyProvided under Arrangement
Short Term Inpatient CareProvided under Arrangement
Speech Pathology ServicesProvided under Arrangement

Quality of Patient Care:
Quality of patient care is measured based on the survey done by the patients who received the hospice care, as well as the experiences of their informal primary caregivers. Main points included in the survey are treatment preferences, beliefs/values addressed (if desired by the patient), pain screening, pain assessment, dyspnea screening, dyspnea treatment,patients treated with an opioid who are given a bowel regimen.
Measure NameScore (in %)National Average
Treatment Preferences 100.098.3
Beliefs/Values Addressed (if desired by the patient) 100.093.6
Pain Screening 99.393.9
Pain Assessment 100.077.7
Dyspnea Screening 100.097.3
Dyspnea Treatment 99.194.6
Patients Treated with an Opioid who are Given a Bowel Regimen 100.093.3
Employee Count:
Moments Hospice employee information is available below according to the service area, it is also divided among volunteer and employed count.
Services Employed CountVolunteer Count
Home Health Aide1.00.0
Counseling1.0 0.0
Medical Social Services1.50.0
Registered Nurses2.50.0
Other Personnel0.0 0.02
TOTAL6.00.02
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this hospice are as below. Person's position and contact details are also mentioned below.
Name: Eliyahu Jaffa
Position: President
Contact Number: 715-800-0908
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of stated hospice are as mentioned below.
NPI Number: 1114576279
NPI Enumeration Date: 10 Sep, 2019
NPI Last Update On: 21 Sep, 2023
Medical Licenses:
Hospice can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Moments Hospice are as mentioned below.
SpecializationLicense NumberStateStatus
Hospice Care, Community Based Primary
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address: 820 Lilac Dr N Ste 210,
Golden Valley, Minnesota
Zip: 55422-4754
Phone Number: 612-655-5242
Patients can reach Moments Hospice at 4897 Miller Trunk Highway #220, Hermantown, Minnesota or can call to book an appointment on (21-8) -520-0870.
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