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Kingston Residence of Fort Wayne, LLC

Assisted Living Facility in Fort Wayne, IN · enumerated 2024 · authorized official Jessica Siu, Director of Operations.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1316778780

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Registry record

Entity type Organization (Type 2)
Legal business name Kingston Residence of Fort Wayne, LLC
Practice address 7515 Winchester Rd, Fort Wayne, IN, 46819
Phone (260) 747-1523
Enumeration date Aug 8, 2024
Last updated in NPPES Aug 8, 2024

Taxonomy & classification

310400000X Assisted Living Facility Nursing & Custodial Care Facilities Primary

Authorized official

Name Jessica Siu
Title Director of Operations
Phone (419) 392-8529

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is the NPI number for Kingston Residence of Fort Wayne, LLC?
The NPI for Kingston Residence of Fort Wayne, LLC is 1316778780, a Type 2 (organization) record in the CMS NPPES registry.
Who is the authorized official for Kingston Residence of Fort Wayne, LLC?
NPPES lists Jessica Siu (Director of Operations) as the authorized official for this organization.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2024-08-08.