KOINONIA COMMUNITY SERVICES LLC NPI 1457994840

NPI Information

NPI: 1457994840
Provider Name: KOINONIA COMMUNITY SERVICES LLC
Classification: Intermediate Care Facility, Intellectual Disabilities - 315P00000X
Entity Type: Organization
Address:
2980 VAN AKEN BLVD
CLEVELAND, OH
ZIP 44120
Phone: (216) 561-7415
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KOINONIA COMMUNITY SERVICES LLC is an intermediate care facility mentally retarded in Cleveland, OH. The provider is an intermediate care facility providing services for individuals with intellectual disabilities. KOINONIA COMMUNITY SERVICES LLC NPI is 1457994840. The provider is registered as an organization entity type.

The provider's business location address is:

2980 VAN AKEN BLVD
CLEVELAND, OH
ZIP 44120-862
Phone: (216) 561-7415
Fax: (216) 561-0367

The provider's authorized official is Marilina Workman .
The authorized official title is Director Of Icf and has the following contact phone number (216) 588-8777.

The enumeration date for this NPI number is 10/18/2019 and was last updated on 10/18/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	315P00000X	Intermediate Care Facility, Intellectual Disabilities				Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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