KOINONIA FOSTER HOMES, INC.
NPI 1831506534
Community Based Residential Treatment Facility, Mental Illness in Antelope, CA

Active since July 15, 2014
4232 BIG CLOUD WAY, ANTELOPE, CA 95843(916) 652-0171 Get Directions Write a Review

NPPES record last updated: November 3, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Nov 3, 2025, Sep 7, 2021, Jan 21, 2020 and 2 more (5 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 1831506534), doing business as Koinonia Homes For Teens, is a healthcare organization registered as a community based residential treatment facility, mental illness in Antelope, California and active in the NPI registry since July 2014. The organization lists Jared Raddigan, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1831506534
Entity TypeOrganization
Primary Taxonomy320800000X
Legal Business NameKOINONIA FOSTER HOMES, INC.
Location Address4232 BIG CLOUD WAYAntelope, CA 95843-2406
Mailing AddressPo Box 1403Loomis, CA 95650-1403 · (916) 652-2749
Organization SubpartNo
Authorized OfficialJared RaddiganExecutive Director · (916) 577-7982
Enumeration DateJuly 15, 2014
Last NPPES UpdateNovember 3, 20255 updates tracked since enumeration
NPPES CertifiedNovember 3, 2025
NPI 1831506534 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCommunity Based Residential Treatment Facility, Mental IllnessResidential Treatment Facilities
Taxonomy Code320800000X
License Licensed in CA · 80129
Definition
A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.
4232 BIG CLOUD WAY, Antelope, CA 95843

Other Names 1

Doing Business AsKoinonia Homes For Teens

Other Identifiers 1

Other347001884CA · Department Of Social Services

Other Providers at the Same Location NPPES

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

Counselor (Mental Health)
4232 BIG CLOUD WAY
ANTELOPE, CA 95843

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 1831506534. It was assigned to this organization in the NPPES registry on July 15, 2014. The provider is doing business as Koinonia Homes for Teens.

Where is Koinonia Foster Homes, Inc. located?

Koinonia Foster Homes, Inc. is located at 4232 Big Cloud Way, Antelope, CA 95843. The listed phone number is (916) 652-0171.

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

The primary specialty registered for this NPI is Community Based Residential Treatment Facility, Mental Illness with taxonomy code 320800000X.

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.