KOINONIA FOSTER HOMES INC. NPI 1831506534

NPI Information

NPI: 1831506534
Provider Name: KOINONIA FOSTER HOMES, INC.

Doing Business As: KOINONIA HOMES FOR TEENS

Classification: Community Based Residential Treatment Facility, Mental Illness - 320800000X
Entity Type: Organization
Address:
4232 BIG CLOUD WAY
ANTELOPE, CA
ZIP 95843
Phone: (916) 652-0171
Get Directions

KOINONIA FOSTER HOMES, INC. is a community based residential treatment facility mental illness in Antelope, CA. The provider is a home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness. KOINONIA FOSTER HOMES, INC. NPI is 1831506534. 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:

4232 BIG CLOUD WAY
ANTELOPE, CA
ZIP 95843-406
Phone: (916) 652-0171

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 7/15/2014 and was last updated on 9/7/2021.

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	320800000X	Community Based Residential Treatment Facility, Mental Illness		80129	CALIFORNIA	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	347001884	OTHER	CALIFORNIA	DEPARTMENT OF SOCIAL SERVICES

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: 11/14/2023

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »