Koinonia Foster Homes INC
Community/Behavioral Health in Tehachapi, CA. Organization (NPI-2).
NPI number1982147294
StatusActive
Last updated in NPPESNov 3, 2025
Details
- NPI
- 1982147294
- Entity type
- Organization (NPI-2)
- Legal business name
- Koinonia Foster Homes INC
- Organization subpart
- No
- Enumeration date
- Nov 18, 2016
- Certification date
- Nov 3, 2025
- Last updated
- Nov 3, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 251S00000X | Community/Behavioral Health | – | – | Yes |
Practice location
20432 W Valley BlvdSte C & D
Tehachapi, CA 93561-8664
Phone 661-823-9738
Mailing address
Po Box 1403Loomis, CA 95650-1403
Phone 916-652-5802
Authorized official
Jared Raddigan
Executive Director
9165777982
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