KOINONIA COMMUNITY SERVICES LLC NPI 1215570692

NPI Information

  • NPI: 1215570692
  • Provider Name: KOINONIA COMMUNITY SERVICES LLC
  • Classification: Intermediate Care Facility, Intellectual Disabilities - 315P00000X
  • Entity Type: Organization
  • Address: 6809 SMITH RD
    MIDDLEBURG HEIGHTS, OH
    ZIP 44130
  • Phone: (216) 362-1740

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NPI Details

KOINONIA COMMUNITY SERVICES LLC is an intermediate care facility mentally retarded in Middleburg Heights, OH. The provider is an intermediate care facility providing services for individuals with intellectual disabilities. KOINONIA COMMUNITY SERVICES LLC NPI is 1215570692. The provider is registered as an organization entity type.

The provider's business location address is:

6809 SMITH RD
MIDDLEBURG HEIGHTS, OH
ZIP 44130-681
Phone: (216) 362-1740
Fax: (216) 362-6227

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
1315P00000XIntermediate Care Facility, Intellectual DisabilitiesYes

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: 11/21/2025

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