Kingsway International LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

KINGSWAY INTERNATIONAL LLC

Practice address

9738 Northstar CT
Stockton, CA 95209-5183

Phone

(209) 888-4788

Fax

(209) 490-4126

NPI assigned

Jan 12, 2026

Last updated

Jan 12, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Princewill Nwaogu

Title

Owner/Administrator

Phone

(925) 202-8447

Specialties & licenses 1

Addresses

Tax ID family

Bethel Place Assisted Living2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Kingsway International LLC

  dba Bethel Place Assisted Living

  • Assisted Living Facility
  • Stockton, CA
  • NPI 1558071308
  NPD tax ID

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

{
    "created_epoch": "1768176000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1768176000000",
    "number": "1316805104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9738 NORTHSTAR CT",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952095183",
            "telephone_number": "209-888-4788",
            "fax_number": "209-490-4126"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9738 NORTHSTAR CT",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952095183",
            "telephone_number": "209-888-4788",
            "fax_number": "209-490-4126"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KINGSWAY INTERNATIONAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-01-12",
        "last_updated": "2026-01-12",
        "certification_date": "2026-01-12",
        "status": "A",
        "authorized_official_last_name": "NWAOGU",
        "authorized_official_first_name": "PRINCEWILL",
        "authorized_official_title_or_position": "OWNER/ADMINISTRATOR",
        "authorized_official_telephone_number": "925-202-8447"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jyriaynna King
• Maurice Santell King
• Ruby King, SUDCCIII
• Taujay King
• Nikita Kingaby
• Kingsway International LLC (Bethel Place Assisted Living)
• Anastasiya Kiriyak, MS
• Cynthia Kirk
• Jenna Kirschner, BS, MS
• Kirti K Solanki MD Inc

• Assisted Living Facility in Stockton, CA
• Providers in Stockton, CA by specialty
• Assisted Living Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2026; 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.