KOINONIA FOSTER HOMES, INC. (NPI# 1770079824) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770079824 |
| Entity Type | Organization |
| Organization Name | KOINONIA FOSTER HOMES, INC. |
| Other Organization Name | KOINONIA FAMILY SERVICES |
| Practice Address |
3725 Taylor Rd Loomis CA 95650-9283 |
| Mailing Address |
Po Box 1403 Loomis CA 95650-1403 |
| Practice Telephone | 9166525814 |
| Mailing Telephone | 9166525814 |
| Enumeration Date | 2018-07-02 |
| Last Update Date | 2018-07-02 |
| Authorized Official Name | MS. JESSICA MILLER (MENTAL HEALTH SUPERVISOR) |
| Authorized Official Telephone | 9166525814 |
| Authorized Official Credential | LCSW |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
317000912 | CA | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| 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 |
| 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 |
3725 TAYLOR RD |
| City | LOOMIS |
| State | CA |
| Zip Code | 95650-9283 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609141514 | Banetta Bacchi | Counselor | 3725 Taylor Rd, Loomis, CA 95650-9283 | 2012-03-12 |
| 1851902753 | Jenine Lee Poitras | Behavioral Analyst | 3725 Taylor Rd, Loomis, CA 95650-9283 | 2020-08-13 |
| 1679184576 | Kyler Malarae | Behavioral Analyst | 3725 Taylor Rd, Loomis, CA 95650-9283 | 2020-08-13 |
| 1821577107 | Angela Dixon | Social Worker | 3725 Taylor Rd, Loomis, CA 95650-9283 | 2018-08-08 |
| 1679052955 | Elizabeth C Casey | Social Worker | 3725 Taylor Rd, Loomis, CA 95650-9283 | 2018-08-08 |
| 1396224671 | Alycia Williams | Social Worker | 3725 Taylor Rd, Loomis, CA 95650-9283 | 2018-08-08 |
| 1134608623 | Jessica Marguerite Miller | Social Worker | 3725 Taylor Rd, Loomis, CA 95650-9283 | 2018-08-07 |
| 1063991495 | Amanda Jewell Knapp | Social Worker | 3725 Taylor Rd, Loomis, CA 95650-9283 | 2018-08-07 |
| 1245725464 | Koinonia Foster Homes, Inc. | Community Based Residential Treatment Facility, Mental Illness | 3725 Taylor Rd, Loomis, CA 95650 | 2018-06-29 |
| 1538511852 | Allison Lensing | Community Health Worker | 3725 Taylor Rd, Loomis, CA 95650 | 2016-07-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629252622 | Kevin Fleming Chiropractic, Inc | Chiropractor | 3621 Taylor Road, Suite A, Loomis, CA 95650 | 2007-12-27 |
| 1316133754 | Leslie Ann Hirschaut | Psychiatry & Neurology | 2499 Humphrey Rd, Loomis, CA 95650 | 2007-09-19 |
| 1356545693 | William J Ryland | Counselor | 5980 Webb Street, Loomis, CA 95650 | 2007-06-12 |
| 1316163462 | Michael Ratliff | Non-emergency Medical Transport (VAN) | 5900 King Rd Ste 209, Loomis, CA 95650 | 2007-04-17 |
| 1366573289 | Peter S. Klem, Od | Optometrist | 3493 Taylor Rd, Loomis, CA 95650 | 2007-03-09 |
| 1649260217 | Takemoto Drug Co | Pharmacy | 3685 Taylor Rd, Loomis, CA 95650 | 2005-10-25 |
| 1851595938 | Donald Richmond | Counselor | 5980 Webb Street, Loomis, CA 95650 | 2007-06-13 |
| 1770787020 | Koinonia Foster Homes, Inc | Clinic/Center | 5980 Webb Street, Loomis, CA 95650 | 2007-06-12 |
| 1720282080 | William Roberts | Counselor | 5980 Webb Street, Loomis, CA 95650 | 2007-06-12 |
| 1992844138 | Barry N. Mercer | Dentist | 3475 Taylor Rd., Loomis, CA 95650-0005 | 2007-02-05 |
| Find all providers in zip 95650 | ||||
| Taxonomy Code | 261QM0801X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Mental Health (Including Community Mental Health Center) |
| Definition to come... |
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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.