WHITE BEAR HEIGHTS
NPI 1619400199
Assisted Living Facility in Saint Paul, MN

Q: What is Ktj 270 LLC's NPI number?

The NPI number for Ktj 270 LLC is 1619400199. It was assigned to this organization in the NPPES registry on April 11, 2017. The provider is doing business as White Bear Heights.

Q: What is Ktj 270 LLC's specialty?

The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.

Q: When was this NPI record last updated?

The NPPES record for Ktj 270 LLC was last updated on April 11, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since April 11, 2017

4650 CENTERVILLE RD, SAINT PAUL, MN 55127(651) 653-3288 Get Directions Write a Review

NPPES record last updated: April 11, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

On this page

About White Bear Heights NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

WHITE BEAR HEIGHTS (NPI 1619400199) is a healthcare organization registered as an assisted living facility in Saint Paul, Minnesota and active in the NPI registry since April 2017. The organization lists Jackie Juan, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1619400199

Entity TypeOrganization

Primary Taxonomy310400000X

Legal Business NameKTJ 270 LLC

Location Address4650 CENTERVILLE RDSaint Paul, MN 55127-2301

Mailing Address4650 Centerville RdSaint Paul, MN 55127-2301 · (651) 653-3288

Phone(651) 653-3288

Organization SubpartNo

Authorized OfficialJackie JuanExecutive Director · (651) 653-3288

Enumeration DateApril 11, 2017

✔ NPI 1619400199 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities

Taxonomy Code310400000X

License✔ Licensed in MN · 32991

Definition

A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.

4650 CENTERVILLE RD, Saint Paul, MN 55127

Open in Google Maps ↗

Other Names 1

Doing Business AsWhite Bear Heights

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

PHS-WHITE BEAR LAKE LLC

Assisted Living Facility

4650 CENTERVILLE RD
WHITE BEAR LAKE, MN 55127

Ramsey County (651) 631-6100

OPTAGE INC

Clinic/Center (Rehabilitation)

4650 CENTERVILLE RD
WHITE BEAR LAKE, MN 55127

Ramsey County (651) 631-6570

BRITTNEY R RETZ

Occupational Therapist (Physical Rehabilitation)

4650 CENTERVILLE RD
WHITE BEAR LAKE, MN 55127

Ramsey County (612) 437-1511

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ktj 270 LLC's NPI number?

The NPI number for Ktj 270 LLC is 1619400199. It was assigned to this organization in the NPPES registry on April 11, 2017. The provider is doing business as White Bear Heights.

Where is Ktj 270 LLC located?

Ktj 270 LLC is located at 4650 Centerville Rd, Saint Paul, MN 55127. The listed phone number is (651) 653-3288.

What is Ktj 270 LLC's specialty?

The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.

When was this NPI record last updated?

The NPPES record for Ktj 270 LLC was last updated on April 11, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.