Koinonia Homes, Inc.

LBN: Koinonia Homes, Inc.
Koinonia Homes, Inc. is an health care organization with primary practice located at 10000 Granger Rd , Garfield Hts OH 44125-3102. The organization recently has 5 registered licenses in different health care specialties including Agencies / Day Training, Developmentally Disabled Services, Agencies / Nursing Care, Residential Treatment Facilities / Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities, Transportation Services / Private Vehicle, Respite Care Facility / Respite Care, Mental Retardation and/or Developmental Disabilities. Agencies / Day Training, Developmentally Disabled Services is the primary health care specialty. Koinonia Homes, Inc. can be contacted via phone (216) 662-8789, or through Beastrom, Diane Reynolds via phone (216) 588-8777.

Contact Information

Primary practice address
10000 Granger Rd Garfield Hts OH 44125-3102
Phone: (216) 662-8789
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Beastrom, Diane Reynolds
Phone: (216) 588-8777

Health care specialties

SpecialtyCodeLicense #State
Agencies / Day Training, Developmentally Disabled Services 251C00000X Ohio
Agencies / Nursing Care 251J00000X Ohio
Residential Treatment Facilities / Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 320600000X Ohio
Transportation Services / Private Vehicle 347C00000X Ohio
Respite Care Facility / Respite Care, Mental Retardation and/or Developmental Disabilities 385HR2060X Ohio

Profile Details

NPI number 1972665149
LBN Legal business name Koinonia Homes, Inc.
DBA Doing business as
Authorized official Beastrom, Diane Reynolds
Entity Organization
Organization subpart 1 No
Enumeration date Dec 14th, 2006
Last updated Aug 22nd, 2020 - about 5 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 1972665149 NPPES
Ohio MEDICAID 0900949

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