Organization
KOINONIA FOSTER HOMES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JARED RADDIGAN (EXECUTIVE DIRECTOR)
(916) 577-7982
Entity
Organization
Contact information
Practice address
1355 AIRMOTIVE WAY, RENO, NV 89502-3218
(775) 826-1113
(775) 826-0248
Mailing address
1050 BIBLE WAY, RENO, NV 89502
(775) 826-1113
(775) 826-0248
Taxonomy
Speciality
Code
Description
License number
State
253J00000X
Foster Care Agency
Primary
—
—
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
—
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100507962
—
NV
Enumeration date
05/10/2007
Last updated
11/03/2025
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