KOINONIA FOSTER HOMES, INC (NPI# 1770787020) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770787020 |
| Entity Type | Organization |
| Organization Name | KOINONIA FOSTER HOMES, INC |
| Other Organization Name | KOINONIA TREATMENT CLINIC |
| Practice Address |
5980 Webb Street Loomis CA 95650 |
| Mailing Address |
Po Box 1403 Loomis CA 95650-1403 |
| Practice Telephone | 9166520171 |
| Mailing Telephone | 9166520171 |
| Enumeration Date | 2007-06-12 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. WILLIAM RYLAND (ADMINISTRATOR) |
| Authorized Official Telephone | 9166520171 |
| Authorized Official Credential | RASI |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR0405X |
Clinic/Center Specialization: Rehabilitation, Substance Use Disorder |
C313101 | CA | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Koinonia Treatment Clinic | Doing Business As Name - Organization |
| Street Address |
5980 WEBB STREET |
| City | LOOMIS |
| State | CA |
| Zip Code | 95650 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356545693 | William J Ryland | Counselor | 5980 Webb Street, Loomis, CA 95650 | 2007-06-12 |
| 1851595938 | Donald Richmond | Counselor | 5980 Webb Street, Loomis, CA 95650 | 2007-06-13 |
| 1720282080 | William Roberts | Counselor | 5980 Webb Street, Loomis, CA 95650 | 2007-06-12 |
| 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 |
| 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 |
| 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 |
| 1992844138 | Barry N. Mercer | Dentist | 3475 Taylor Rd., Loomis, CA 95650-0005 | 2007-02-05 |
| 1003004698 | Merle Franklin Godfrey IIi | Dentist | 3669 Taylor Rd, #2178, Loomis, CA 95650-7400 | 2007-10-09 |
| 1134455777 | Blmc, Enterprises | Pharmacy | 3137 Swetzer Rd, Ste A, Loomis, CA 95650-7611 | 2009-11-01 |
| Find all providers in zip 95650 | ||||
| Taxonomy Code | 261QR0405X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rehabilitation, Substance Use Disorder |
| 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.