Koinonia Homes For Teens

LBN: Koinonia Foster Homes, Inc.
Koinonia Homes For Teens is an health care organization with primary practice located at 3580 Shallow Creek Road , Loomis CA 95650-8813. The organization recently has 2 registered licenses in different health care specialties including Agencies / Community/Behavioral Health, Agencies / Foster Care Agency. Agencies / Community/Behavioral Health is 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
3580 Shallow Creek Road Loomis CA 95650-8813
Phone: (916) 652-0171
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Ryland, Bill
Phone: (916) 652-0171

Health care specialties

SpecialtyCodeLicense #State
Agencies / Community/Behavioral Health 251S00000X
Agencies / Foster Care Agency 253J00000X

Profile Details

NPI number 1942768221
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 Mar 6th, 2019
Last updated Mar 16th, 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 1942768221 NPPES
California MEDICAID 317000875

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