Koinonia Inn
LBN: Agape Unlimited
Koinonia Inn is an health care organization with primary practice located at 4841 Auto Center Way Ste 101 , Bremerton WA 98312-4388. The organization recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Agencies / Case Management. Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is the primary health care specialty.
Agape Unlimited can be contacted via phone (360) 373-1529, or through Mccourry, Ondrea via phone (360) 373-1529.
Contact Information
Primary practice address
4841 Auto Center Way Ste 101
Bremerton WA 98312-4388
Phone: (360) 373-1529
Fax: (360) 373-4051
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | 18027300 | Washington |
| Agencies / Case Management | 251B00000X |
Profile Details
| NPI number | 1538282272 |
|---|---|
| LBN Legal business name | Agape Unlimited |
| DBA Doing business as | Koinonia Inn |
| Authorized official | Mccourry, Ondrea |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Apr 9th, 2007 |
| Last updated | Jun 25th, 2020 - about 4 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1538282272 | NPPES |
| Washington | MEDICAID | 1067521 | |
| Washington | MEDICAID | 1990365 |
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