KOINONIA FOSTER HOMES, INC. (NPI# 1629570932) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629570932 |
| Entity Type | Organization |
| Organization Name | KOINONIA FOSTER HOMES, INC. |
| Other Organization Name | KOINONIA FAMILY SERVICES |
| Practice Address |
5465 Aguilar Rd Rocklin CA 95677-3302 |
| Mailing Address |
Po Box 1403 Loomis CA 95650-1403 |
| Practice Telephone | 9166525814 |
| Mailing Telephone | 9166525802 |
| Enumeration Date | 2018-03-02 |
| Last Update Date | 2018-10-05 |
| Authorized Official Name | JESSICA MARGUERITE MILLER (MENTAL HEALTH HEAD OF SERVICE) |
| Authorized Official Telephone | 9166525814 |
| Authorized Official Credential | LCSW |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 251S00000X | Community/Behavioral Health | Agencies | ||
| Y | 253J00000X | Foster Care Agency | 317000912 | CA | Agencies |
| Other Name | Type Code |
|---|---|
| Koinonia Connections | Other Name - Individual/Organization |
| Koinonia Family Services | 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 |
| 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 |
| 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 |
5465 AGUILAR RD |
| City | ROCKLIN |
| State | CA |
| Zip Code | 95677-3302 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518446814 | Dorothy J Rich | Case Manager/Care Coordinator | 5465 Aguilar Rd, Rocklin, CA 95677-3302 | 2018-08-08 |
| 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 | 253J00000X |
| Grouping | Agencies |
| Classification | Foster Care Agency |
| A Foster Care Agency is an agency that provides foster care as defined in the Code of Federal Regulations (CFR) as "24-hour substitute care for children outside their own homes." Foster care settings include, but are not limited to, nonrelative foster family homes, relative foster homes (whether payments are being made or not), group homes, emergency shelters, residential facilities, and pre-adoptive homes. |
| Notes: Source: Code Of Federal Regulations, Title 45, Volume 4, Part 1355, Section 57 [1/1/2008: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396203675 | Koinonia Foster Homes, Inc. | Foster Care Agency | 5440 Paragon St, Rocklin, CA 95677-2217 | 2019-03-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972110088 | Wynspring Family Resource Center | Foster Care Agency | 2211 Park Towne Cir Ste 4, Sacramento, CA 95825-0414 | 2020-09-23 |
| 1285256438 | Latino Family Institute, Inc. | Foster Care Agency | 1501 W Cameron Ave Ste 240, West Covina, CA 91790-2733 | 2020-05-11 |
| 1356984264 | Garces Residential Care Services | Foster Care Agency | 7349 Milliken Ave # 140-223, Rancho Cucamonga, CA 91730-7435 | 2019-10-23 |
| 1265086094 | The Heart Matters Foster Family Agency | Foster Care Agency | 21935 Van Buren St Ste B-7, Grand Terrace, CA 92313-5652 | 2019-07-30 |
| 1346892072 | Nalcs | Foster Care Agency | 439 N Maclay Ave, San Fernando, CA 91340-2416 | 2019-07-12 |
| 1477105104 | Nalcs | Foster Care Agency | 1085 W Badillo St, Covina, CA 91722-4112 | 2019-07-12 |
| 1407408131 | Nalcs | Foster Care Agency | 322 W Katella Ave Ste 5-b, Orange, CA 92867-4759 | 2019-07-12 |
| 1316508542 | Nalcs | Foster Care Agency | 5400 Pomona Blvd, Los Angeles, CA 90022-1717 | 2019-06-27 |
| 1427519784 | Wayfinder Family Services | Foster Care Agency | 1045 Bonita Ave, La Verne, CA 91750-5109 | 2019-03-28 |
| 1437617784 | Koinonia Foster Homes, Inc. | Foster Care Agency | 6331 King Rd, Loomis, CA 95650-8801 | 2019-03-06 |
| 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.