KMJC, LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

KMJC, LLC

Practice address

753 7TH St E
Saint Paul, MN 55106-5025

Phone

(651) 776-9511

NPI assigned

Jan 17, 2014

Organization subpart

No

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

Authorized official

Name

Mr. Sia Lo

Title

Administrator

Phone

(651) 776-9511

Specialties & licenses 1

Addresses

Other names 1

• Dellwood Gardens Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

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

{
    "created_epoch": "1389916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1389916800000",
    "number": "1619399136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "753 7TH ST E",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551065025",
            "telephone_number": "651-776-9511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "753 7TH ST E",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551065025",
            "telephone_number": "651-776-9511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KMJC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-17",
        "last_updated": "2014-01-17",
        "status": "A",
        "authorized_official_last_name": "LO",
        "authorized_official_first_name": "SIA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "651-776-9511",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dellwood Gardens",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Alyssa Nicole Klotz, PHARMD
• KLS Interpretng Inc
• Joella Klubberud
• Morgan Christine Klug, RD, LD
• Jonathan Kluger
• Say Kmwee
• Norah Knabe, MA, LMFT
• Dianna Knack, OTR/L
• Alexia P Knapp, M.D.
• Gregory Knapp, PA

• Assisted Living Facility in Saint Paul, MN
• Providers in Saint Paul, MN by specialty
• Assisted Living Facility in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.