Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Ktj 212, LLC

Organization Assisted Living Facility · NPI 1104480714

Ktj 212, LLC is an Assisted Living Facility in Excelsior, Minnesota. Registered with an NPI since 2019.

In the registry since
2019
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

6000 Chaska Rd
Excelsior, MN 55331-3173
Phone: (952) 401-7444
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Assisted Living Facility (primary) Taxonomy 310400000X

Record details

NPI number1104480714
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Lisa Miskulin — Executive Director · (952) 401-7444
Other names Shorewood Landing Senior Living
NPI enumeratedApril 29, 2019
Last updated in NPPESApril 29, 2019
Mailing address6000 Chaska Rd, Excelsior, MN 55331-3173

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