OrganizationActive
Kmjv Operation LLC
NPI 1174122758 · Lodging Provider · Lakeville, MN
Provider details
- NPI number
- 1174122758
- Entity type
- Organization
- Primary specialty
- Lodging ProviderOther Service Providers
- Organization subpart
- No
- Authorized official
- Aaron Matter, Manager(773) 658-2165
Specialties & taxonomies
Other Service Providers
Profile Score
Established profile(63/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
19351 Indiana Ave
Lakeville, MN 55044-4849
Phone: (952) 206-4650
Approximate (ZIP-level) locationGet directions
Mailing address
6404 W North Ave
Wauwatosa, WI 53213
Registry dates
- Enumerated
- 2020-10-23
- Last updated
- 2020-10-23
- Certified
- 2020-10-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.