# KOINONIA HEALTHCARE

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1669636379
- **Authorized official:** MRS. FRI JILLA LONGTCHI RN, BSN (DIRECTOR OF NURSING)
- **Authorized official phone:** (240) 764-7217

## Contact information

- **Practice address:** 5601 MARY A CT, BLADENSBURG, MD 20710-1650
- **Practice address phone:** (240) 764-7217
- **Practice address fax:** (240) 764-7218
- **Mailing address:** 5601 MARY A CT, BLADENSBURG, MD 20710-1650
- **Mailing address phone:** (240) 764-7217
- **Mailing address fax:** (240) 764-7218

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | R2610 | MD | Yes |

## Other

- **Enumeration date:** 07/11/2008
- **Last updated:** 07/11/2008