Koinonia Homes For Teens

LBN: Koinonia Foster Homes, Inc.
Koinonia Homes For Teens is an health care organization with primary practice located at 4232 Big Cloud Way , Antelope CA 95843-2406. The organization recently has only one registered license in Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness, which is considered as the primary health care specialty. Koinonia Foster Homes, Inc. can be contacted via phone (916) 652-0171, or through Ryland, Bill via phone (916) 652-0171.

Contact Information

Primary practice address
4232 Big Cloud Way Antelope CA 95843-2406
Phone: (916) 652-0171
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Ryland, Bill
Phone: (916) 652-0171

Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness 320800000X 80129 California

Profile Details

NPI number 1831506534
LBN Legal business name Koinonia Foster Homes, Inc.
DBA Doing business as Koinonia Homes For Teens
Authorized official Ryland, Bill
Entity Organization
Organization subpart 1 No
Enumeration date Jul 15th, 2014
Last updated Sep 7th, 2021 - about 3 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1831506534 NPPES
California Other 347001884 DEPARTMENT OF SOCIAL SERVICES

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