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KOINONIA FOSTER HOMES, INC.
NPI 1467997403
Community/Behavioral Health in Gardena, CA

Active since December 29, 2016
1225 W 190TH ST STE 255, GARDENA, CA 90248(310) 217-0930(310) 217-0907 Get Directions Write a Review

NPPES record last updated: November 3, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 3, 2025, Feb 23, 2023, Dec 29, 2016 (3 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 1467997403), doing business as Koinonia Family Services, is a healthcare organization registered as a community/behavioral health in Gardena, California and active in the NPI registry since December 2016. The organization lists Jared Raddigan, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1467997403
Entity TypeOrganization
Primary Taxonomy251S00000X
Legal Business NameKOINONIA FOSTER HOMES, INC.
Location Address1225 W 190TH ST STE 255Gardena, CA 90248-4342
Mailing AddressPo Box 1403Loomis, CA 95650-1403 · (916) 652-5802
Phone(310) 217-0930
Fax(310) 217-0907
Organization SubpartNo
Authorized OfficialJared RaddiganExecutive Director · (916) 577-7982
Enumeration DateDecember 29, 2016
Last NPPES UpdateNovember 3, 20253 updates tracked since enumeration
NPPES CertifiedNovember 3, 2025
✔ NPI 1467997403 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ 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.
1225 W 190TH ST STE 255, Gardena, CA 90248
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Other Names 1

Doing Business AsKoinonia Family Services

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.

REGINA MARTIN
Case Manager/Care Coordinator
1225 W 190TH ST STE 255
GARDENA, CA 90248
Los Angeles County (310) 217-0930
MALIA PHILLIPS LCSW
Social Worker (Clinical)
1225 W 190TH ST STE 255
GARDENA, CA 90248
Los Angeles County (310) 217-0930
AMANDA WAGENBACH LCSW
Social Worker (Clinical)
1225 W 190TH ST STE 255
GARDENA, CA 90248
Los Angeles County (310) 748-3772

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 1467997403. It was assigned to this organization in the NPPES registry on December 29, 2016. The provider is doing business as Koinonia Family Services.

Where is Koinonia Foster Homes, Inc. located?

Koinonia Foster Homes, Inc. is located at 1225 W 190th St Ste 255, Gardena, CA 90248. The listed phone number is (310) 217-0930.

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.