KOINONIA FOSTER HOMES, INC. (NPI# 1396203675) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1396203675 |
Entity Type | Organization |
Organization Name | KOINONIA FOSTER HOMES, INC. |
Practice Address |
5440 Paragon St Rocklin CA 95677-2217 |
Mailing Address |
Po Box 1403 Loomis CA 95650-1403 |
Practice Telephone | 9166520171 |
Mailing Telephone | 9166520171 |
Enumeration Date | 2019-03-06 |
Last Update Date | 2019-03-06 |
Authorized Official Name | BILL RYLAND (DIRECTOR) |
Authorized Official Telephone | 9166520171 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 253J00000X | Foster Care Agency | Agencies | ||
Y | 251S00000X | Community/Behavioral Health | Agencies |
State | Issuer | Identifier | Type Code |
---|---|---|---|
CA | 310311378 | 05 |
Other Name | Type Code |
---|---|
Koinonia Homes for Teens | Doing Business As Name - Organization |
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 |
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 |
1770079824 | Koinonia Foster Homes, Inc. | Clinic/Center | 3725 Taylor Rd, Loomis, CA 95650-9283 | 2018-07-02 |
Street Address |
5440 PARAGON ST |
City | ROCKLIN |
State | CA |
Zip Code | 95677-2217 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1629564752 | Aimee K. Lubell | Psychologist | 3175 Sunset Blvd., Suite 104b, Rocklin, CA 95677 | 2018-07-01 |
1659810760 | Cal Urgent Care, PC | Clinic/Center | 6641 Stanford Ranch Rd, Rocklin, CA 95677 | 2017-02-22 |
1821469370 | Gold Country Hearing Associates, Inc | Audiologist-Hearing Aid Fitter | 4780 Granite Drive Suite 600, Rocklin, CA 95677 | 2015-10-09 |
1013325778 | Dave Si Dong | Pharmacist | 5609 Pacific Street, Rocklin, CA 95677 | 2014-07-25 |
1417235532 | On Demand Primary Care & Nursing, Inc | Nurse Practitioner | 4585 Northstar Street, Rocklin, CA 95677 | 2011-07-22 |
1093903312 | John Ewing Kiesselbach | Dentist | 6000 Fairway Drive, Suite 10, Rocklin, CA 95677 | 2007-10-11 |
1235322082 | Elizabeth Anne Roullier Bunz | Dentist | 4230 Rocklin Rd, Rocklin, CA 95677 | 2007-08-24 |
1366576712 | Michael Alen Laidlaw | Marriage & Family Therapist | 5780 Grove Street, Rocklin, CA 95677 | 2007-03-16 |
1033281365 | Sunnie Lee Skiles | Pediatrics | 6815 Five Star Blvd Ste 100, Rocklin, CA 95677 | 2006-11-14 |
1164516779 | Kasi L. Franck | Dentist | 3104 Sunset Blvd Ste 1a, Rocklin, CA 95677 | 2006-10-03 |
Find all providers in zip 95677 |
Taxonomy Code | 251S00000X |
Grouping | Agencies |
Classification | Community/Behavioral Health |
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1629570932 | Koinonia Foster Homes, Inc. | Community/Behavioral Health | 5465 Aguilar Rd, Rocklin, CA 95677-3302 | 2018-03-02 |
1376660134 | County of Placer | Community/Behavioral Health | 1000 Sunset Blvd, Ste 140, Rocklin, CA 95765 | 2007-03-24 |
1205292000 | Freitas Therapy | Community/Behavioral Health | 5180 Grove St, Rocklin, CA 95677-2733 | 2016-01-08 |
1730517202 | County of Placer | Community/Behavioral Health | 1000 Sunset Blvd Ste 140, Rocklin, CA 95765-3791 | 2013-10-21 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1740881861 | Griselda Tuchan Pineda Marriage and Family Therapist Inc | Community/Behavioral Health | 2820 S Vermont Ave Ste 16, Los Angeles, CA 90007-2291 | 2020-11-04 |
1013518687 | Turning Point of Central California, Inc. | Community/Behavioral Health | 3636 N 1st St Ste 112, Fresno, CA 93726-6818 | 2020-11-02 |
1588264113 | Licensed Clinical Social Worker Community Alliance PC | Community/Behavioral Health | 301 S 23rd St, Richmond, CA 94804-2807 | 2020-11-01 |
1134729718 | Cynthia Felicia Delaney | Community/Behavioral Health | 4887 Bella Pacific Row Unit 240, San Diego, CA 92109-8515 | 2020-10-31 |
1114527637 | Clarke-lauren Stevenson Richard | Community/Behavioral Health | 1277 E Loma Linda Ave, Fresno, CA 93720-2668 | 2020-10-26 |
1891395232 | Jacqulyn Danielle Rios | Community/Behavioral Health | 4604 W Douglas Ave Apt 103, Visalia, CA 93291-4195 | 2020-10-26 |
1346849213 | Greystone Behavioral Health Nursing Inc | Community/Behavioral Health | 231 E Alessandro Blvd Ste A438, Riverside, CA 92508-5084 | 2020-10-22 |
1376142216 | Melissa Reyes Aguilar | Community/Behavioral Health | 2248 S Cochran Ave, Los Angeles, CA 90016-1218 | 2020-10-21 |
1578162616 | Bayfront Healthcare Services | Community/Behavioral Health | 2703 N Studebaker Rd, Long Beach, CA 90815-1628 | 2020-10-20 |
1326647686 | Sierra Child & Family Services | Community/Behavioral Health | 564 Mountain Ranch Rd Ste 5, San Andreas, CA 95249-9782 | 2020-10-19 |
Find all providers with the same taxonomy |
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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.