Organization
KOINONIA FOSTER HOMES, INC.
Active
Organization
KOINONIA FOSTER HOMES, INC.
Active
Other names
Koinonia Homes for Teens
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JARED RADDIGAN (EXECUTIVE DIRECTOR)
(916) 599-7982
Entity
Organization
Contact information
Practice address
5980 WEBB ST, LOOMIS, CA 95650-7625
(916) 652-0171
(916) 652-3979
Mailing address
PO BOX 1403, LOOMIS, CA 95650-1403
(916) 652-0171
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
0554.14
CA
253J00000X
Foster Care Agency
Primary
0554.14.01
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0554.14.01
DSS AFDC-FC
CA
Enumeration date
02/15/2018
Last updated
11/03/2025
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