OrganizationActive
Ktj 292, LLC
NPI 1275154262 · Assisted Living Facility · Minneapolis, MN
Provider details
- NPI number
- 1275154262
- Entity type
- Organization
- Primary specialty
- Assisted Living FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Rebecca Bollig, Executive Director(612) 623-7000
Specialties & taxonomies
Nursing & Custodial Care Facilities
Profile Score
Established profile(64/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
6 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
22 Malcolm Ave Se
Minneapolis, MN 55414-7584
Phone: (612) 723-7000
Street-level locationGet directions
Mailing address
22 Malcolm Ave Se
Minneapolis, MN 55414-7584
Other names (DBA / former)
- Doing business as
- Pillars of Prospect Park
Registry dates
- Enumerated
- 2020-04-30
- Last updated
- 2020-04-30
- Certified
- 2020-04-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.