Kingston Residence of Fort Wayne, LLC
NPI 1316778780ActiveOrganization· Assisted Living Facility· Fort Wayne, IN
Assisted Living Facility in Fort Wayne, Indiana, registered in NPPES in August 2024. The authorized official on file is Jessica Siu, Director Of Operations.
Overview
| NPI | 1316778780 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Aug 8, 2024 |
| Last updated in NPPES | Aug 8, 2024 |
| Certified by provider | Aug 8, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Assisted Living Facility Primary | 310400000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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