Provider Demographics
NPI:1003630575
Name:MOMENTS HOSPICE OF BROWARD LLC
Entity type:Organization
Organization Name:MOMENTS HOSPICE OF BROWARD LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ELIYAHU
Authorized Official - Middle Name:
Authorized Official - Last Name:JAFFA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:877-666-3687
Mailing Address - Street 1:820 LILAC DR N STE 210
Mailing Address - Street 2:
Mailing Address - City:GOLDEN VALLEY
Mailing Address - State:MN
Mailing Address - Zip Code:55422-4754
Mailing Address - Country:US
Mailing Address - Phone:877-666-3687
Mailing Address - Fax:
Practice Address - Street 1:7501 W OAKLAND PARK BLVD STE 102
Practice Address - Street 2:
Practice Address - City:TAMARAC
Practice Address - State:FL
Practice Address - Zip Code:33319-4972
Practice Address - Country:US
Practice Address - Phone:877-666-3687
Practice Address - Fax:763-205-9350
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-11-12
Last Update Date:2024-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based