Organization
KOINONIA HOMES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DIANE REYNOLDS BEASTROM (CHIEF EXECUTIVE OFFICER)
(216) 588-8777
Entity
Organization
Contact information
Practice address
10000 GRANGER RD, GARFIELD HTS, OH 44125-3102
(216) 662-8789
Mailing address
6161 OAK TREE BLVD STE 400, INDEPENDENCE, OH 44131-2516
(216) 588-8777
(216) 588-5670
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
—
OH
251J00000X
Nursing Care Agency
Primary
—
OH
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
—
OH
347C00000X
Private Vehicle
—
OH
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
—
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0900949
—
OH
Enumeration date
12/14/2006
Last updated
09/11/2025
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