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

Kingston Residence of Fort Wayne, LLC

Organization Assisted Living Facility · NPI 1316778780

Kingston Residence of Fort Wayne, LLC is an Assisted Living Facility in Fort Wayne, Indiana. Registered with an NPI since 2024.

In the registry since
2024
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

7515 Winchester Rd
Fort Wayne, IN 46819-2257
Phone: (260) 747-1523
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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 number1316778780
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jessica Siu — Director Of Operations · (419) 392-8529
NPI enumeratedAugust 8, 2024
Last updated in NPPESAugust 8, 2024
Certification dateAugust 8, 2024
Mailing address1 Seagate Ste 1960, Toledo, OH 43604-1592

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