Koinonia Foster Homes, Inc.
Koinonia Foster Homes, Inc. is a health care provider in Loomis, CA. In this page you will find its mailing address, practice location, phone number, specialty etc.
|Practice Location|| 5980 Webb St, Loomis, CA 95650-7625, US |
|Practice Location Phone||916-652-0171|
|Practice Location Fax||916-652-3979|
|Legal Business Name||KOINONIA FOSTER HOMES, INC.|
|Other Organization Name||KOINONIA HOMES FOR TEENS|
|Other Organization Name Type||Doing Business As Name|
|Enumeration Date ? ||Feb 15, 2018|
|Last Update Date ? ||Mar 17, 2018|
NPI: National Provider Identifier issued to health care providers by Centers for Medicare and Medicaid Services (CMS).
Specialties & Licenses of Koinonia Foster Homes, Inc.
|Specialty||Provider Type||Specialization||License||License State|
|Community/Behavioral Health||Agencies|| ||0554.14||California|
|Foster Care Agency||Agencies|| ||0554.14.01||California|
Legacy Provider IDs of Koinonia Foster Homes, Inc.
|Provider Id||Issuer State||Issuer Type||Issuer|
Authorized Official of Koinonia Foster Homes, Inc.
An authorized official is an appointed official with the legal authority to make changes and/or updates to the Koinonia Foster Homes, Inc.'s status and to commit the provider to fully abide by the laws and regulations relating to the National Provider Identifier (NPI).
|Authorized Official ||Mr. Bill Ryland (CATC)|
|Authorized Official Title/Position||DIRECTOR|
|Authorized Official Phone Number||916-652-0171|