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KOINONIA HOMES, INC
NPI 1891852299
Voluntary or Charitable in Independence, OH

Active since January 03, 2007CLIA 36D2202245 · Waiver
6161 OAK TREE BLVD, SUITE 400, INDEPENDENCE, OH 44131(216) 588-8777(216) 588-5670 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 21, 2022, Aug 22, 2020 (2 updates tracked since 2020).

About Koinonia Homes, Inc NPPES

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

KOINONIA HOMES, INC (NPI 1891852299) is a healthcare organization registered as a voluntary or charitable in Independence, Ohio and active in the NPI registry since January 2007. The organization holds a CLIA Waiver certificate valid through November 24, 2026 and lists Diane R Beastrom, Ceo, as its authorized official.

NPPES Registry Identity

NPI1891852299
Entity TypeOrganization
Primary Taxonomy251V00000X
Legal Business NameKOINONIA HOMES, INC
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 R BeastromCeo · (216) 588-8777
Enumeration DateJanuary 3, 2007
Last NPPES UpdateJuly 21, 20222 updates tracked since enumeration
✔ NPI 1891852299 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
Open in Google Maps ↗

Other Identifiers 1

Other1800975OH · Contract Vendor Number

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 36D2202245

Koinonia Homes · Independence, OH
Active · expires Nov 24, 2026
CLIA Number36D2202245
Laboratory TypeIntermediate Care Facility For Mentally Retarded
Certificate Effective DateNovember 25, 2024
Certificate Expiration DateNovember 24, 2026
Laboratory DirectorJeanne L. Greene
Laboratory Phone(216) 217-1356
Laboratory LocationKoinonia Homes6161 Oak Tree Blvd, Suite 400, Independence, OH 44131
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

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 Homes, Inc's NPI number?

The NPI number for Koinonia Homes, Inc is 1891852299. It was assigned to this organization in the NPPES registry on January 3, 2007.

Where is Koinonia Homes, Inc located?

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

What is Koinonia Homes, Inc's specialty?

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

Does Koinonia Homes, Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 36D2202245) is associated with this NPI, valid through November 24, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Koinonia Homes, Inc was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.