Individual provider Active NPI

Caroline Gesare Kingoina

  • Adult Care Home Facility
  • Spanaway, WA
National Provider Identifier
1194607028
Registry record updated Jul 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Care Home FacilityTaxonomy code 311ZA0620X
License
755689 Issued in WA
Practice address
1102 186TH Street CT E # a
Spanaway, WA 98387-8530
Phone
(201) 724-3675
Fax
(201) 724-3675
NPI assigned
Jul 22, 2025
Last updated
Jul 22, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 22, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Care Home Facility 311ZA0620X 755689 WA Primary

Addresses

Primary practice location

1102 186TH Street CT E # a
Spanaway, WA 98387-8530

Mailing address

1102 186TH Street CT E # a
Spanaway, WA 98387-8530
Phone (201) 724-3675

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
755689WAMDAdult Care Home Facility

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1753142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753142400000",
    "number": "1194607028",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1102 186TH STREET CT E # A",
            "city": "SPANAWAY",
            "state": "WA",
            "postal_code": "983878530",
            "telephone_number": "201-724-3675",
            "fax_number": "201-724-3675"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1102 186TH STREET CT E # A",
            "city": "SPANAWAY",
            "state": "WA",
            "postal_code": "983878530",
            "telephone_number": "201-724-3675",
            "fax_number": "201-724-3675"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KINGOINA",
        "first_name": "CAROLINE",
        "middle_name": "GESARE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-07-22",
        "last_updated": "2025-07-22",
        "certification_date": "2025-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "WA",
            "license": "755689",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spanaway, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.