Moments Hospice Of Appleton



  
5517 W Waterford Lane Suite C, Appleton
Wisconsin, 54913

 (92-0) -212-8533   Maps & Directions
Moments Hospice Of Appleton is a hospice care center situated at Appleton, Wisconsin. This palliative care is medicare certified, hence if you are covered by medicare, medicare will pay the hospice for your care. Moments Hospice Of Appleton accommodated approx. 415 Medicare beneficiaries whose average age was 84 years in CY2022. Unique hospice identification number provided by medicare to this hospice care is 521606. Moments Hospice Of Appleton 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 Of Appleton 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 Of Appleton 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 Of Appleton Llc 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) 521606
Hospice’s Ownership Type:For-Profit (04 Proprietary - Individual)
Accreditation Community Health Accreditation Partner (CHAP)
Hospice Address:5517 W Waterford Lane Suite C, Appleton,
Wisconsin, 54913
County:Outagamie
Phone:(92-0) -212-8533
CMS Regional Office Chicago
Medicare Certification:
Medicare certification details of Moments Hospice Of Appleton with certification date, type, current status, certification provider, MAC, CBSA Code are stated below.
Medicare Certified:Yes
Medicare Certification Date:25 Nov, 2020
Current Status: Active Provider
Latest visit of the Health or LSC survey: 25 Nov, 2020
Status at the time of certification survey: In Compliance
Latest Certification Type: Complaint
Certificate Provider: CMS Regional Office
CBSA Code 11540 (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 Of Appleton 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 415
RHC Days (in %) 100
Episode or Stay Count 427
Total Nursing Minutes 694050 Minutes (11567.5 Hours)
Days of Service 38,647
Average Age of Beneficiary 84 year
Average Risk Score of Beneficiaries 2.24
Total Medicare Payment Amount $ 6,545,451
Total Medicare Standard Payment Amount $ 6,754,884
Total Medicare Allowed Payment Amount $ 6,545,451
Total Charge Amount $ 9,056,894

Average Hospice Visit Count


Moments Hospice Of Appleton have 12919 skilled nursing visits, 1205 social work visits and 18609 Number of home health aide visits provided by the home health agency or hospice.


Beneficiaries by Gender


Moments Hospice Of Appleton rendered hospice services to 40% Male and 60% Female Medicare beneficiaries in a Fiscal year.

Beneficiaries by Race


Moments Hospice Of Appleton provided hospice care to 98% White, 8% not disclosed Medicare beneficiaries in a Fiscal year.

Medicare/Medicaid Eligible Beneficiaries


At Moments Hospice Of Appleton,5% of Medicare beneficiaries received their Medicare correspondence in a rural area based on having a Core-based Statistical Area (CSBA) designation equal to Non-CBSA.
32% 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 Of Appleton, distinct Medicare beneficiaries who received hospice care for a primary diagnosis are 15 of Neoplasms & Diseases of the Blood and Blood forming organs, 35 of Diseases of the Nervous System, 41 of Diseases of the Circulatory System, 5 of Diseases of the Respiratory System,

Services Provided:
Services available at Moments Hospice Of Appleton 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 99.798.3
Beliefs/Values Addressed (if desired by the patient) 99.593.6
Pain Screening 100.093.9
Pain Assessment 100.077.7
Dyspnea Screening 100.097.3
Dyspnea Treatment 99.294.6
Patients Treated with an Opioid who are Given a Bowel Regimen 100.093.3
Employee Count:
Moments Hospice Of Appleton 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
Counseling0.4 0.0
Medical Social Services0.30.0
Registered Nurses1.30.0
Other Personnel1.5 0.1
TOTAL4.50.1
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: Owner
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: 1982215307
NPI Enumeration Date: 10 Aug, 2020
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 Of Appleton 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: 763-205-3600
Patients can reach Moments Hospice Of Appleton Llc at 5517 W Waterford Lane Suite C, Appleton, Wisconsin or can call to book an appointment on (92-0) -212-8533.
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