Healthcare Provider Details

I. General information

NPI: 1720851132
Provider Name (Legal Business Name): LJS ENTERPRISES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/07/2023
Last Update Date: 11/07/2025
Certification Date: 11/07/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3000 N 14TH ST STE 3A
BISMARCK ND
58503-0697
US

IV. Provider business mailing address

403 LAREDO DR
BISMARCK ND
58504-7212
US

V. Phone/Fax

Practice location:
  • Phone: 701-202-8423
  • Fax:
Mailing address:
  • Phone: 701-581-4504
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163WW0101X
TaxonomyAmbulatory Women's Health Care Registered Nurse
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code374J00000X
TaxonomyDoula
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code174N00000X
TaxonomyLactation Consultant (Non-RN)
License Number
License Number State
# 5
Primary TaxonomyY
Taxonomy Code163WL0100X
TaxonomyLactation Consultant (Registered Nurse)
License Number
License Number State

VIII. Authorized Official

Name: BECKY J KUSS
Title or Position: OWNER
Credential: MSN RN IBCLC
Phone: 701-581-4504