Organization · Type 2 NPI

Koinonia Foster Homes, Inc.

Mental Health Clinic/Center (Including Community Mental Health Center) · Loomis, CA

NPI number 1770079824 Active

Practice location

3725 Taylor Rd
Loomis, CA 95650-9283

Call (916) 652-5814 Map

Mailing address

PO Box 1403
Loomis, CA 95650-1403

Specialties and licenses

Taxonomy	Code	License
Mental Health Clinic/Center (Including Community Mental Health Center) Primary	261QM0801X	317000912 (CA)

Mental Health Clinic/Center (Including Community Mental Health Center): Definition to come...

13 other providers at this address

NPI record

NPI: 1770079824
Entity type: Organization (Type 2)
Issued: Jul 2, 2018
Last updated: Nov 3, 2025
Status: Active

Other names

<unavail>
Koinonia Family Services · doing business as
Koinonia Family Services · doing business as

Authorized official

Ms. Jessica Miller, LCSW
Mental Health Supervisor
(916) 652-5814

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1770079824

Koinonia Foster Homes, Inc.'s National Provider Identifier is 1770079824, issued on Jul 2, 2018. The primary taxonomy on file is Mental Health Clinic/Center (Including Community Mental Health Center) (261QM0801X), and the practice location is in Loomis, CA. The record was last updated on Nov 3, 2025.