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Ktj 270 LLC

Ktj 270 LLC is a healthcare organization registered as Assisted Living Facility in Saint Paul, MN, holding Type 2 (organization) NPI 1619400199 since 2017. The authorized official on file is Jackie Juan, Executive Director.

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NPI 1619400199
Entity type Organization (Type 2)
Legal business name Ktj 270 LLC
Other name <Unavail>
Practice address 4650 CENTERVILLE RD, Saint Paul, MN, 55127
Phone 6516533288
Enumeration date 2017-04-11
Last updated in NPPES 2017-04-11

Authorized official

Name Jackie Juan
Title Executive Director
Phone 6516533288

Taxonomy & classification

Taxonomy code Specialty Primary License State
310400000X Assisted Living Facility Primary 32991 MN
Copy-ready billing details
Provider: Ktj 270 LLC
NPI: 1619400199
Taxonomy: 310400000X (Assisted Living Facility)
Address: 4650 CENTERVILLE RD, Saint Paul, MN, 55127

Providers at this address

NPI Name Type Specialty Location
1003563545 Phs-White Bear Lake LLC Organization Assisted Living Facility White Bear Lake, MN
1184313637 Optage Inc Organization Rehabilitation Clinic/Center White Bear Lake, MN
1912775511 Brittney Retz Individual Physical Rehabilitation Occupational Therapist White Bear Lake, MN

Verify this record

Cross-check NPI 1619400199 against the authoritative CMS record: view Ktj 270 LLC on the official NPPES registry .

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.

Frequently asked questions

What type of organization is Ktj 270 LLC?
Ktj 270 LLC is registered in NPPES as a Assisted Living Facility (its primary provider taxonomy).
What is a Type 2 NPI?
A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.

Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2017-04-11.