| Koinonia Homes For Teens | |
|
5980 Webb St Loomis CA 95650-7625 | |
| (916) 652-0171 | |
| (916) 652-3979 |
| Full Name | Koinonia Homes For Teens |
|---|---|
| Speciality | Foster Care Agency |
| Location | 5980 Webb St, Loomis, California |
| Authorized Official Name and Position | Bill Ryland (DIRECTOR) |
| Authorized Official Contact | 9166520171 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Koinonia Homes For Teens Po Box 1403 Loomis CA 95650-1403 Ph: (916) 652-0171 | Koinonia Homes For Teens 5980 Webb St Loomis CA 95650-7625 Ph: (916) 652-0171 |
| NPI Number | 1780184846 |
|---|---|
| Provider Enumeration Date | 02/15/2018 |
| Last Update Date | 03/17/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780184846 | NPI | - | NPPES |
| 0554.14.01 | Other | CA | DSS AFDC-FC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 0554.14 (California) | Secondary |
| 253J00000X | Foster Care Agency | 0554.14.01 (California) | Primary |
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Koinonia Family Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3725 Taylor Rd, Loomis, CA 95650 Phone: 946-652-5814 | |
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Koinonia Foster Homes, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 6331 King Rd, Loomis, CA 95650 Phone: 916-652-0171 | |
Koinonia Foster Homes, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3880 Oak Tree Ln, Loomis, CA 95650 Phone: 916-652-0171 | |
Koinonia Family Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3725 Taylor Rd, Loomis, CA 95650 Phone: 916-652-5814 |