KOINONIA FOSTER HOMES, INC. (NPI# 1336353101) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1336353101 |
Entity Type | Organization |
Organization Name | KOINONIA FOSTER HOMES, INC. |
Practice Address |
1050 Bible Way Reno NV 89502 |
Practice Telephone | 7758261113 |
Practice Fax Number | 7758260248 |
Mailing Telephone | 7758261113 |
Mailing Fax Number | 7758260248 |
Enumeration Date | 2007-05-10 |
Last Update Date | 2020-08-22 |
Authorized Official Name | MS. SANDRA J ARGUELLO (ASSOC EX DIRECTOR CLINICAL DIRECTOR) |
Authorized Official Telephone | 7758261113 |
Authorized Official Credential | MFT |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 322D00000X | Residential Treatment Facility, Emotionally Disturbed Children | NV | Residential Treatment Facilities |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1902436744 | Koinonia Foster Homes, Inc. | Community/Behavioral Health | 1881 Business Center Dr Ste 10, San Bernardino, CA 92408-3465 | 2020-01-21 |
1437617784 | Koinonia Foster Homes, Inc. | Foster Care Agency | 6331 King Rd, Loomis, CA 95650-8801 | 2019-03-06 |
1942768221 | Koinonia Foster Homes, Inc. | Foster Care Agency | 8200 King Rd, Loomis, CA 95650-8813 | 2019-03-06 |
1396203675 | Koinonia Foster Homes, Inc. | Foster Care Agency | 5440 Paragon St, Rocklin, CA 95677-2217 | 2019-03-06 |
1477011740 | Koinonia Foster Homes, Inc. | Foster Care Agency | 3880 Oak Tree Ln, Loomis, CA 95650-9316 | 2019-03-06 |
1568920874 | Koinonia Foster Homes, Inc. | Foster Care Agency | 12344 Incline Dr, Auburn, CA 95603-3512 | 2019-03-05 |
1881170827 | Koinonia Foster Homes, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 7046 Beech Ave, Orangevale, CA 95662-2656 | 2018-07-12 |
1629570932 | Koinonia Foster Homes, Inc. | Community/Behavioral Health | 5465 Aguilar Rd, Rocklin, CA 95677-3302 | 2018-03-02 |
1831506534 | Koinonia Foster Homes, Inc. | Community Based Residential Treatment Facility, Mental Illness | 4232 Big Cloud Way, Antelope, CA 95843-2406 | 2014-07-15 |
1487964839 | Koinonia Foster Homes, Inc. | Community/Behavioral Health | 1355 Airmotive Way, Reno, NV 89502-3218 | 2010-10-19 |
Street Address |
1050 BIBLE WAY |
City | RENO |
State | NV |
Zip Code | 89502 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1598884249 | Sandra Arguello | Marriage & Family Therapist | 1050 Bible Way, Reno, NV 89502-2125 | 2007-03-27 |
1649878646 | Miles Neilson | Rehabilitation Practitioner | 1050 Bible Way, Reno, NV 89502-2125 | 2020-10-12 |
1518592252 | Miguel Ariza | Rehabilitation Practitioner | 1050 Bible Way, Reno, NV 89502-2125 | 2020-03-03 |
1699329441 | Stacy Kianna Ingrisano | Rehabilitation Practitioner | 1050 Bible Way, Reno, NV 89502-2125 | 2019-07-30 |
1144799479 | Katie Draughon | Rehabilitation Practitioner | 1050 Bible Way, Reno, NV 89502-2125 | 2018-11-15 |
1710463369 | Houston Elizabeth Pafe | Rehabilitation Practitioner | 1050 Bible Way, Reno, NV 89502-2125 | 2018-07-17 |
1275027211 | Amy Michelle Bromley | Rehabilitation Practitioner | 1050 Bible Way, Reno, NV 89502-2125 | 2018-06-21 |
1205355492 | Lucius D Dennis | Rehabilitation Practitioner | 1050 Bible Way, Reno, NV 89502-2125 | 2017-09-19 |
1598219198 | Shelby Bergren | Rehabilitation Practitioner | 1050 Bible Way, Reno, NV 89502-2125 | 2016-08-11 |
1124572359 | Ashley Myers | Rehabilitation Practitioner | 1050 Bible Way, Reno, NV 89502-2125 | 2016-08-04 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1992314264 | State of Nevada | Community/Behavioral Health | 4600 Kietzke Lane Bldg D, Reno, NV 89502 | 2020-07-23 |
1447879259 | Ryan Johnson | Student in an Organized Health Care Education/Training Program | 1155 Mill St. W-11, Reno, NV 89502 | 2020-04-11 |
1396378063 | Domingko Loney | Chore Provider | 1325 Air Motive Wat St 262, Reno, NV 89502 | 2020-02-20 |
1053954842 | Derek Craig | Home Health Aide | 1000 Havard Way #29, Reno, NV 89502 | 2019-10-24 |
1477108124 | Marisa Rachael Traversie | Nurse Practitioner | 910 Vista Boulevard, Sparks, NV 89502 | 2019-08-08 |
1912564675 | Patrick Llewellyn Merrill | Social Worker | 975 Kirman Ave - Ch 116, Reno, NV 89502 | 2019-05-28 |
1881154706 | Naresh Kumar Veerabattini | Student in an Organized Health Care Education/Training Program | 1155 Mill St, Renown Regional Medical Center, W11 Academic Department Offices, Reno, NV 89502 | 2019-03-25 |
1053899187 | Daphne London | Behavioral Analyst | 1325 Airmotive Way Ste 260, Reno, NV 89502 | 2018-07-31 |
1790271609 | Jennifer J Padolina | Optometrist | 2296 Kietzke Ln, Reno, NV 89502 | 2018-07-03 |
1336630185 | Lindsey Cherie Cooper | Technician | 3563 Sol Grande Ct, Reno, NV 89502 | 2018-05-27 |
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Taxonomy Code | 322D00000X |
Grouping | Residential Treatment Facilities |
Classification | Residential Treatment Facility, Emotionally Disturbed Children |
A provider facility or distinct part of the organization which renders an interdisciplinary program of mental health treatment to individuals under 21 years of age who have persistent dysfunction in major life areas. The dysfunction is of an extent and pervasiveness that requires a protected and highly structured therapeutic environment. These organizations, or distinct part of organizations, exclude those that provide acute psychiatric care, partial hospitalization, group living, therapeutic schooling, primary diagnosis substance abuse disorder treatment, or primary diagnosis mental retardation or developmental disability treatment. |
Notes: Source: U.S. Department of Defense Regulation 6010.8-R, Chapter 6. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1215305818 | Levada House LLC | Residential Treatment Facility, Emotionally Disturbed Children | 3905 Clear Acre Ln Apt 27, Reno, NV 89512-1283 | 2015-09-13 |
1679639132 | Hand Up Homes for Youth | Residential Treatment Facility, Emotionally Disturbed Children | 2725 Yori Ave, Reno, NV 89502-4325 | 2006-12-29 |
1902199458 | Aaron J Holcomb | Residential Treatment Facility, Emotionally Disturbed Children | 255 W Moana Ln Ste 104, Reno, NV 89509-4942 | 2011-05-17 |
1184922916 | Impact Communtiy Service LLC | Residential Treatment Facility, Emotionally Disturbed Children | 9801 Crystalline Dr, Reno, NV 89506-7566 | 2011-03-02 |
1568783942 | Jc Family Services | Residential Treatment Facility, Emotionally Disturbed Children | 2370 Ridge Field Trl, Reno, NV 89523-6803 | 2010-06-19 |
1578739157 | Hand Up Homes for Youth Nevada | Residential Treatment Facility, Emotionally Disturbed Children | 2725 Yori Ave, Reno, NV 89502-4325 | 2008-05-05 |
1962548990 | Beverly J. Paschal, Ma, Mft | Residential Treatment Facility, Emotionally Disturbed Children | 3670 Grant Dr, Suite 103-a, Reno, NV 89509-5309 | 2007-01-29 |
1811064272 | State of Nevada | Residential Treatment Facility, Emotionally Disturbed Children | 2655 Enterprise Rd, Reno, NV 89512-1666 | 2006-11-29 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1891282786 | Avenues 2 Success | Residential Treatment Facility, Emotionally Disturbed Children | 9520 Chanticleer Ct, Las Vegas, NV 89129-7858 | 2018-04-17 |
1639423064 | Sunny Day Home Health | Residential Treatment Facility, Emotionally Disturbed Children | 1712 Sagebrush Ranch Way, N Las Vegas, NV 89081-6718 | 2012-11-07 |
1093030017 | Unepected Changes | Residential Treatment Facility, Emotionally Disturbed Children | 428 Marion Dr, Las Vegas, NV 89110-3473 | 2010-04-01 |
1245567486 | Luvin' Kare Transitional Services | Residential Treatment Facility, Emotionally Disturbed Children | 217 Delighted Ave, North Las Vegas, NV 89031-1395 | 2009-11-09 |
1679703805 | Horizon Academy LLC | Residential Treatment Facility, Emotionally Disturbed Children | Hc 70 Box 531, Amargosa Valley, NV 89020-9600 | 2009-07-22 |
1174766612 | Carol Ellen Harrison | Residential Treatment Facility, Emotionally Disturbed Children | 1700 Buckthorn Ct, Minden, NV 89423-4127 | 2009-04-14 |
1700046372 | London Family and Children's Services Inc | Residential Treatment Facility, Emotionally Disturbed Children | 2026 Silverton Dr, Henderson, NV 89074-1550 | 2008-06-16 |
1588821938 | Focal Point Academy | Residential Treatment Facility, Emotionally Disturbed Children | 560 W Mesquite Blvd, Mesquite, NV 89027-5137 | 2008-05-21 |
1306024773 | Father Flanagans Boys' Town | Residential Treatment Facility, Emotionally Disturbed Children | 8090 Flanagan Dr, Las Vegas, NV 89131-0200 | 2008-02-07 |
1215115688 | Father Flanagans Boys' Home | Residential Treatment Facility, Emotionally Disturbed Children | 8110 Flanagan Dr, Las Vegas, NV 89131-0200 | 2008-02-07 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.