NPIMap

Organization Active NPI

Koinonia Foster Homes, Inc.

Doing business as Koinonia Family Services

  • Community/Behavioral Health Agency
  • Loomis, CA
National Provider Identifier
1245725464
Registry record updated Nov 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
KOINONIA FOSTER HOMES, INC.
Doing business as
Koinonia Family Services
Practice address
3725 Taylor Rd
Loomis, CA 95650
Phone
(946) 652-5814
NPI assigned
Jun 29, 2018
Last updated
Nov 3, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Ms. Jessica Miller, LCSWNPI 1134608623
Title
Mental Health Supervisor
Phone
(916) 652-5814

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Illness Community Based Residential Treatment Facility 320800000X 097005992 CA
Emotionally Disturbed Childrens' Residential Treatment Facility 322D00000X
Foster Care Agency 253J00000X 097005992 CA
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

3725 Taylor Rd
Loomis, CA 95650

Mailing address

PO Box 1403
Loomis, CA 95650-1403
Phone (916) 652-5814

Other names 2

  • Koinonia Family Services Doing business as
  • Koinonia Family Restoration Program Other name

National Provider Directory

National Provider Directory
Tax ID family
Koinonia Foster Homes Inc30 organizations share this tax ID, including this one

Other organizations with this tax ID 29

Organizations that report the same tax identification number in the National Provider Directory.

View all 29

Locations

3725 Taylor Rd
Loomis, CA 95650
Phone (916) 259-1544

Practitioners & affiliated clinicians

Practitioners 15

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 15

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1530230400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1762128000000",
    "number": "1245725464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1403",
            "city": "LOOMIS",
            "state": "CA",
            "postal_code": "956501403",
            "telephone_number": "916-652-5814"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3725 TAYLOR RD",
            "city": "LOOMIS",
            "state": "CA",
            "postal_code": "95650",
            "telephone_number": "946-652-5814"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KOINONIA FOSTER HOMES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-29",
        "last_updated": "2025-11-03",
        "certification_date": "2025-11-03",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_title_or_position": "MENTAL HEALTH SUPERVISOR",
        "authorized_official_telephone_number": "916-652-5814",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": "CA",
            "license": "097005992",
            "primary": false
        },
        {
            "code": "322D00000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Emotionally Disturbed Children",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "253J00000X",
            "taxonomy_group": "",
            "desc": "Foster Care Agency",
            "state": "CA",
            "license": "097005992",
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Koinonia Family Services",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Koinonia Family Services",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Koinonia Family Restoration Program",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Loomis, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.