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KOINONIA FOSTER HOMES INC. NPI 1780184846


NPI Information

NPI: 1780184846
Provider Name: KOINONIA FOSTER HOMES, INC.

Doing Business As: KOINONIA HOMES FOR TEENS

Classification: Foster Care Agency - 253J00000X
Entity Type: Organization
Address:
5980 WEBB ST
LOOMIS, CA
ZIP 95650
Phone: (916) 652-0171
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KOINONIA FOSTER HOMES, INC. is a foster care agency in Loomis, CA. The provider is 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. KOINONIA FOSTER HOMES, INC. NPI is 1780184846. The provider is registered as an organization entity type.
The provider Is Doing Business As Koinonia Homes For Teens.

The provider's business location address is:

5980 WEBB ST
LOOMIS, CA
ZIP 95650-625
Phone: (916) 652-0171
Fax: (916) 652-3979

The provider's authorized official is Bill Ryland .
The authorized official title is Director and has the following contact phone number (916) 652-0171.

The enumeration date for this NPI number is 2/15/2018 and was last updated on 3/17/2018.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1251S00000XCommunity/Behavioral Health0554.14CALIFORNIANo
2253J00000XFoster Care Agency0554.14.01CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
10554.14.01OTHERCALIFORNIADSS AFDC-FC

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

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