Organization Active NPI

KLMH Enterprises LLC

  • Assisted Living Facility
  • Stanton, CA
National Provider Identifier
1548061955
Registry record updated Mar 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
KLMH ENTERPRISES LLC
Practice address
12282 Beach Blvd
Stanton, CA 90680-3970
Phone
(714) 694-3205
NPI assigned
Mar 21, 2025
Last updated
Mar 21, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2025

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

Authorized official

Name
Jeong Mee Moon
Title
Ceo
Phone
(714) 345-5478

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X NU Primary

Addresses

Primary practice location

12282 Beach Blvd
Stanton, CA 90680-3970

Mailing address

12282 Beach Blvd
Stanton, CA 90680-3970

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1742515200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1742515200000",
    "number": "1548061955",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12282 BEACH BLVD",
            "city": "STANTON",
            "state": "CA",
            "postal_code": "906803970"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12282 BEACH BLVD",
            "city": "STANTON",
            "state": "CA",
            "postal_code": "906803970",
            "telephone_number": "714-694-3205"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KLMH ENTERPRISES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-03-21",
        "last_updated": "2025-03-21",
        "certification_date": "2025-03-21",
        "status": "A",
        "authorized_official_last_name": "MOON",
        "authorized_official_first_name": "JEONG",
        "authorized_official_middle_name": "MEE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "714-345-5478"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stanton, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2025; 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.