KOINONIA FOSTER HOMES INC. NPI 1770079824

NPI Information

NPI: 1770079824
Provider Name: KOINONIA FOSTER HOMES, INC.

Doing Business As: KOINONIA FAMILY SERVICES

Classification: Clinic/Center - 261QM0801X
Entity Type: Organization

Specialization: Mental Health (Including Community Mental Health Center)

Address:
3725 TAYLOR RD
LOOMIS, CA
ZIP 95650
Phone: (916) 652-5814
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KOINONIA FOSTER HOMES, INC. is a mental health (including community mental health center) clinic center in Loomis, CA. KOINONIA FOSTER HOMES, INC. NPI is 1770079824. The provider is registered as an organization entity type.
The provider Is Doing Business As Koinonia Family Services.

The provider's business location address is:

3725 TAYLOR RD
LOOMIS, CA
ZIP 95650-283
Phone: (916) 652-5814

The provider's authorized official is Jessica Miller .
The authorized official title is Mental Health Supervisor and has the following contact phone number (916) 652-5814.

The enumeration date for this NPI number is 7/2/2018 and was last updated on 7/2/2018.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QM0801X	Clinic/Center	Mental Health (Including Community Mental Health Center)	317000912	CALIFORNIA	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: 5/5/2024

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