Organization · Type 2 NPI

Koinonia Foster Homes, Inc.

Community/Behavioral Health Agency · Loomis, CA

NPI number 1942768221 Active

Practice location

3580 Shallow Creek Road
Loomis, CA 95650-8813

Call (916) 652-0171 Map

Mailing address

PO Box 1403
Loomis, CA 95650-1403

Other practice locations

8200 King Rd, Loomis, CA 95650-8813 · (916) 652-0171

Specialties and licenses

Taxonomy	Code	License
Community/Behavioral Health Agency Primary	251S00000X	None listed
Foster Care Agency	253J00000X	None listed

Community/Behavioral Health Agency: A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day suppo…

Another provider at this address

Marian Kaye Johnson, APCCMental Health Counselor Loomis, CA NPI 1568131985

Other community/behavioral health agency providers in Loomis

See all in Loomis →

NPI record

NPI: 1942768221
Entity type: Organization (Type 2)
Issued: Mar 6, 2019
Last updated: Nov 3, 2025
Status: Active

Other names

<unavail>
Koinonia Homes for Teens · doing business as
Koinonia Homes for Teens · doing business as

Authorized official

Jared Raddigan
Executive Director
(916) 577-7982

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 1942768221

Koinonia Foster Homes, Inc.'s National Provider Identifier is 1942768221, issued on Mar 6, 2019. The primary taxonomy on file is Community/Behavioral Health Agency (251S00000X), and the practice location is in Loomis, CA. The record was last updated on Nov 3, 2025.