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KOINONIA FOSTER HOMES, INC.
NPI 1942768221
Community/Behavioral Health in Loomis, CA

Active since March 06, 2019
3580 SHALLOW CREEK ROAD, LOOMIS, CA 95650(916) 652-0171 Get Directions Write a Review

NPPES record last updated: November 3, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Nov 3, 2025, Mar 16, 2021, Mar 6, 2019 (3 updates tracked since 2019).

About Koinonia Foster Homes, Inc. NPPES

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

KOINONIA FOSTER HOMES, INC. (NPI 1942768221), doing business as Koinonia Homes For Teens, is a healthcare organization registered as a community/behavioral health in Loomis, California and active in the NPI registry since March 2019. The organization maintains a secondary practice location in Loomis and lists Jared Raddigan, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1942768221
Entity TypeOrganization
Primary Taxonomy251S00000X
Legal Business NameKOINONIA FOSTER HOMES, INC.
Location Address3580 SHALLOW CREEK ROADLoomis, CA 95650-8813
Mailing AddressPo Box 1403Loomis, CA 95650-1403 · (916) 652-0171
Phone(916) 652-0171
Organization SubpartNo
Authorized OfficialJared RaddiganExecutive Director · (916) 577-7982
Enumeration DateMarch 6, 2019
Last NPPES UpdateNovember 3, 20253 updates tracked since enumeration
NPPES CertifiedNovember 3, 2025
✔ NPI 1942768221 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ 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.
Also ListedFoster Care AgencyTaxonomy 253J00000X
3580 SHALLOW CREEK ROAD, Loomis, CA 95650
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Other Names 1

Doing Business AsKoinonia Homes For Teens

Secondary Practice Location 1

Location 18200 King RdLoomis, CA 95650-8813 · Phone (916) 652-0171

Other Identifiers 1

Medicaid317000875CA

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 1942768221. It was assigned to this organization in the NPPES registry on March 6, 2019. The provider is doing business as Koinonia Homes for Teens.

Where is Koinonia Foster Homes, Inc. located?

Koinonia Foster Homes, Inc. is located at 3580 Shallow Creek Road, Loomis, CA 95650. 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/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 with the weekly NPPES data releases published by CMS.