KLLG Corporation

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

126803419 Issued in CA

Legal business name

KLLG CORPORATION

Practice address

3231 Dolbeer St
Eureka, CA 95503-5631

Phone

(707) 444-2076

Fax

(707) 444-2079

NPI assigned

Sep 25, 2014

Organization subpart

No

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

Authorized official

Name

Mr. Kamara Gee

Title

Owner/President

Phone

(707) 268-8699

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1411603200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1411603200000",
    "number": "1093117657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 408",
            "city": "CUTTEN",
            "state": "CA",
            "postal_code": "955340408",
            "telephone_number": "707-268-8699",
            "fax_number": "707-442-9274"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3231 DOLBEER ST",
            "city": "EUREKA",
            "state": "CA",
            "postal_code": "955035631",
            "telephone_number": "707-444-2076",
            "fax_number": "707-444-2079"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KLLG CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-25",
        "last_updated": "2014-09-25",
        "status": "A",
        "authorized_official_last_name": "GEE",
        "authorized_official_first_name": "KAMARA",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "707-268-8699",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "CA",
            "license": "126803419",
            "primary": true
        },
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "CA",
            "license": "126803492",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shannon Kirke
• Chris Kirsch, MSW
• Breana Kirschner, AMFT
• Erin Klein
• Benjamin John Klima, RN
• Klaudia Knap-Serek
• Elizabeth Knight, LMFT
• Sandra Kay Knight, R.N.
• Sheryl Knight, R.N.
• Jessi Jo Knobelock, CADC II

• Assisted Living Facility in Eureka, CA
• Providers in Eureka, 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 Sep 25, 2014; 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.