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KOINONIA FOSTER HOMES, INC.
NPI 1457896490
Community/Behavioral Health in Tustin, CA

Active since December 29, 2016
17821 17TH ST STE 240, TUSTIN, CA 92780(714) 777-5540(714) 777-5546 Get Directions Write a Review

NPPES record last updated: November 3, 2025. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Nov 3, 2025, Dec 29, 2016 (2 updates tracked since 2016).

About Koinonia Foster Homes, Inc. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KOINONIA FOSTER HOMES, INC. (NPI 1457896490) is a healthcare organization registered as a community/behavioral health in Tustin, California and active in the NPI registry since December 2016. The organization lists Jared Raddigan, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1457896490
Entity TypeOrganization
Primary Taxonomy251S00000X
Legal Business NameKOINONIA FOSTER HOMES, INC.
Location Address17821 17TH ST STE 240Tustin, CA 92780-2173
Mailing AddressPo Box 1403Loomis, CA 95650-1403 · (916) 652-5802
Phone(714) 777-5540
Fax(714) 777-5546
Organization SubpartNo
Authorized OfficialJared RaddiganExecutive Director · (916) 577-7982
Enumeration DateDecember 29, 2016
Last NPPES UpdateNovember 3, 20252 updates tracked since enumeration
NPPES CertifiedNovember 3, 2025
✔ NPI 1457896490 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCommunity/Behavioral HealthAgencies
Taxonomy Code251S00000X
Definition
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 support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
Also ListedCommunity Health WorkerTaxonomy 172V00000X
17821 17TH ST STE 240, Tustin, CA 92780
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DAISY HERNANDEZ
Case Manager/Care Coordinator
17821 17TH ST STE 240
TUSTIN, CA 92780
Orange County (714) 777-5540
ARICA URIARTE
Case Manager/Care Coordinator
17821 17TH ST STE 240
TUSTIN, CA 92780
Orange County (714) 777-5540
MADELYN KENT REYNOLDS
Case Manager/Care Coordinator
17821 17TH ST STE 240
TUSTIN, CA 92780
Orange County (714) 777-5540

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Koinonia Foster Homes, Inc.'s NPI number?

The NPI number for Koinonia Foster Homes, Inc. is 1457896490. It was assigned to this organization in the NPPES registry on December 29, 2016.

Where is Koinonia Foster Homes, Inc. located?

Koinonia Foster Homes, Inc. is located at 17821 17th St Ste 240, Tustin, CA 92780. The listed phone number is (714) 777-5540.

What is Koinonia Foster Homes, Inc.'s specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

When was this NPI record last updated?

The NPPES record for Koinonia Foster Homes, Inc. was last updated on November 3, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.