LKJ Enterprise LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

LKJ ENTERPRISE LLC

Doing business as

Mount Hood Serenity Care

Practice address

5704 Mount Hood CT
Sacramento, CA 95842-2203

Phone

(510) 677-7024

NPI assigned

Jan 22, 2024

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Sophia Broomfield

Title

Owner

Phone

(510) 909-3180

Specialties & licenses 1

Addresses

Other names 1

• Mount Hood Serenity Care Doing business as

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1705881600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1705881600000",
    "number": "1053172528",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22012 SEVILLA RD APT 112",
            "city": "HAYWARD",
            "state": "CA",
            "postal_code": "945412745",
            "telephone_number": "510-909-3180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5704 MOUNT HOOD CT",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958422203",
            "telephone_number": "510-677-7024"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LKJ ENTERPRISE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-22",
        "last_updated": "2024-01-22",
        "certification_date": "2024-01-21",
        "status": "A",
        "authorized_official_last_name": "BROOMFIELD",
        "authorized_official_first_name": "SOPHIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "510-909-3180"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mount Hood Serenity Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jonathan Anthony Lizama
• Saira Lizama
• Miguel A. Lizarraga, M.D.
• Ruben Alejandro Lizarraga, MSW, PPSC
• LJ Wolff Medical Corporation
• LL Medical Clinic Ca PC
• Aloysius V. Llaguno, MD
• Marielle Andrea Barretto Llamas, MD
• Paloma Llamas
• Pam Llerena, PMHNP-BC

• Assisted Living Facility in Sacramento, CA
• Providers in Sacramento, CA by specialty
• Assisted Living Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.