Organization
KOINONIA FOSTER HOMES, INC.
Active
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
3880 OAK TREE LN, LOOMIS, CA 95650-9316
(916) 652-0171
Mailing address
PO BOX 1403, LOOMIS, CA 95650-1403
(916) 652-0171
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
253J00000X
Foster Care Agency
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
317000017
—
CA
Enumeration date
03/06/2019
Last updated
11/03/2025
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