Organization Active NPI

Kingsway International LLC

  • Assisted Living Facility
  • Stockton, CA
National Provider Identifier
1558071308
Registry record updated Jan 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
KINGSWAY INTERNATIONAL LLC
Practice address
9732 Northstar CT
Stockton, CA 95209-5183
Phone
(209) 932-9481
NPI assigned
Dec 2, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2026

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

Authorized official

Name
Princewill C Nwaogu
Title
Owner /Administrator
Phone
(925) 202-8447

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

9732 Northstar CT
Stockton, CA 95209-5183

Mailing address

9732 Northstar CT
Stockton, CA 95209-5183
Phone (209) 932-9481

Other names 1

  • BETHEL PLACE ASSISTED LIVING Doing business as

National Provider Directory

National Provider Directory
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.

NPI Registry JSON

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

{
    "created_epoch": "1669939200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1768176000000",
    "number": "1558071308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9732 NORTHSTAR CT",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952095183",
            "telephone_number": "209-932-9481"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9732 NORTHSTAR CT",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952095183",
            "telephone_number": "209-932-9481"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KINGSWAY INTERNATIONAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-12-02",
        "last_updated": "2026-01-12",
        "certification_date": "2026-01-12",
        "status": "A",
        "authorized_official_last_name": "NWAOGU",
        "authorized_official_first_name": "PRINCEWILL",
        "authorized_official_middle_name": "C",
        "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": [
        {
            "organization_name": "BETHEL PLACE ASSISTED LIVING",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Stockton, CA

Sources for this page

  • 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.