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KOINONIA COMMUNITY SERVICES LLC
NPI 1790939858
Voluntary or Charitable in Independence, OH

Active since November 15, 2008
6161 OAK TREE BLVD, SUITE #400, INDEPENDENCE, OH 44131(216) 588-8777(216) 588-5670 Get Directions Write a Review

NPPES record last updated: November 15, 2008. Verified against the NPPES registry weekly; last sync: August 02, 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 1790939858) is a healthcare organization registered as a voluntary or charitable in Independence, Ohio and active in the NPI registry since November 2008. The organization lists Diane Beastrom, Ceo, as its authorized official.

NPPES Registry Identity

NPI1790939858
Entity TypeOrganization
Primary Taxonomy251V00000X
Legal Business NameKOINONIA COMMUNITY SERVICES LLC
Location Address6161 OAK TREE BLVD, SUITE #400Independence, OH 44131-2516
Mailing Address6161 Oak Tree Blvd, Suite #400Independence, OH 44131-2516 · (216) 588-8777 · Fax (216) 588-5670
Phone(216) 588-8777
Fax(216) 588-5670
Organization SubpartNo
Authorized OfficialDiane BeastromCeo · (216) 588-8777
Enumeration DateNovember 15, 2008
✔ NPI 1790939858 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyVoluntary or CharitableAgencies
Taxonomy Code251V00000X
6161 OAK TREE BLVD, Independence, OH 44131
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Other Providers at the Same Location NPPES 20

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

MR. DERRICK RICKY LINCOLN
Case Manager/Care Coordinator
6161 OAK TREE BLVD
INDEPENDENCE, OH 44131
Cuyahoga County (614) 844-3800
KENSHAYA COLLINS
Case Manager/Care Coordinator
6161 OAK TREE BLVD
INDEPENDENCE, OH 44131
Cuyahoga County (614) 844-3800
SHEILA BURTON
Behavior Analyst
6161 OAK TREE BLVD
INDEPENDENCE, OH 44131
Cuyahoga County (216) 262-0891
ESTELLA MARY ADOMA
Behavior Technician
6161 OAK TREE BLVD
INDEPENDENCE, OH 44131
Cuyahoga County (216) 372-2391
DAVID JAMES BOUND B.A.
Case Manager/Care Coordinator
6161 OAK TREE BLVD
INDEPENDENCE, OH 44131
Cuyahoga County (216) 588-8777
KOINONIA PARTNERS UNLIMITED LLC
Voluntary or Charitable
6161 OAK TREE BLVD, SUITE #400
INDEPENDENCE, OH 44131
Cuyahoga County (216) 588-8777
DERRICK BRUGGEMAN
Case Manager/Care Coordinator
6161 OAK TREE BLVD
INDEPENDENCE, OH 44131
Cuyahoga County (216) 217-1966
NICOLE M HUNTER
Peer Specialist
6161 OAK TREE BLVD
INDEPENDENCE, OH 44131
Cuyahoga County (216) 200-4415

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 1790939858. It was assigned to this organization in the NPPES registry on November 15, 2008.

Where is Koinonia Community Services LLC located?

Koinonia Community Services LLC is located at 6161 Oak Tree Blvd Suite #400, Independence, OH 44131. The listed phone number is (216) 588-8777.

What is Koinonia Community Services LLC's specialty?

The primary specialty registered for this NPI is Voluntary or Charitable with taxonomy code 251V00000X.

When was this NPI record last updated?

The NPPES record for Koinonia Community Services LLC was last updated on November 15, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years 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.