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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.

physician-icon Basic Information

Practice Location 5980 Webb St, Loomis, CA 95650-7625, US
Practice Location Phone916-652-0171
Practice Location Fax916-652-3979
Legal Business NameKOINONIA FOSTER HOMES, INC.
Other Organization NameKOINONIA HOMES FOR TEENS
Other Organization Name TypeDoing Business As Name
NPI ?1780184846
Entity TypeOrganization
Enumeration Date ? Feb 15, 2018
Last Update Date ? Mar 17, 2018
Note:
NPI: National Provider Identifier issued to health care providers by Centers for Medicare and Medicaid Services (CMS).

specialty-icon Specialties & Licenses of Koinonia Foster Homes, Inc.

SpecialtySpecializationLicenseLicense State
Community/Behavioral Health 0554.14California
Foster Care Agency 0554.14.01California

legacy-id-icon Legacy Provider IDs of Koinonia Foster Homes, Inc.

Provider IdIssuer StateIssuer TypeIssuer
0554.14.01CaliforniaOtherDSS AFDC-FC

official-icon 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/PositionDIRECTOR
Authorized Official Phone Number916-652-0171