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KOINONIA COMMUNITY SERVICES LLC
NPI 1770126161
Intermediate Care Facility, Intellectual Disabilities in Independence, OH

Active since October 18, 2019
4711 E SPRAGUE RD, INDEPENDENCE, OH 44131(440) 526-9462(440) 526-1941 Get Directions Write a Review

NPPES record last updated: October 18, 2019. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Koinonia Community Services Llc NPPES

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

KOINONIA COMMUNITY SERVICES LLC (NPI 1770126161), doing business as Independence House, is a healthcare organization registered as an intermediate care facility, intellectual disabilities in Independence, Ohio and active in the NPI registry since October 2019. The organization lists Marilina Workman, Director Of Icf, as its authorized official.

NPPES Registry Identity

NPI1770126161
Entity TypeOrganization
Primary Taxonomy315P00000X
Legal Business NameKOINONIA COMMUNITY SERVICES LLC
Location Address4711 E SPRAGUE RDIndependence, OH 44131-6227
Mailing Address6161 Oak Tree Blvd Ste 400Independence, OH 44131-2581 · (216) 588-8777 · Fax (216) 588-5670
Phone(440) 526-9462
Fax(440) 526-1941
Organization SubpartYes
Authorized OfficialMarilina WorkmanDirector Of Icf · (216) 588-8777
Enumeration DateOctober 18, 2019
✔ NPI 1770126161 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyIntermediate Care Facility, Intellectual DisabilitiesNursing & Custodial Care Facilities
Taxonomy Code315P00000X
Definition
An intermediate care facility providing services for individuals with intellectual disabilities.
4711 E SPRAGUE RD, Independence, OH 44131
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Other Names 1

Doing Business AsIndependence House

Other Providers at the Same Location NPPES 2

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

CUYAHOGA COUNTY BD OF MRDD
Intermediate Care Facility, Intellectual Disabilities
4711 E SPRAGUE RD
INDEPENDENCE, OH 44131
Cuyahoga County (216) 736-2625
I AM BOUNDLESS, INC.
Intermediate Care Facility, Intellectual Disabilities
4711 E SPRAGUE RD
INDEPENDENCE, OH 44131
Cuyahoga County (614) 844-3800

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 Community Services LLC's NPI number?

The NPI number for Koinonia Community Services LLC is 1770126161. It was assigned to this organization in the NPPES registry on October 18, 2019. The provider is doing business as Independence House.

Where is Koinonia Community Services LLC located?

Koinonia Community Services LLC is located at 4711 E Sprague Rd, Independence, OH 44131. The listed phone number is (440) 526-9462.

What is Koinonia Community Services LLC's specialty?

The primary specialty registered for this NPI is Intermediate Care Facility, Intellectual Disabilities with taxonomy code 315P00000X.

When was this NPI record last updated?

The NPPES record for Koinonia Community Services LLC was last updated on October 18, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.