NPIMap

Organization Active NPI

Koinonia Foster Homes Inc

Doing business as Koinonia Family Services

  • Community/Behavioral Health Agency
  • Reno, NV
National Provider Identifier
1396966123
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
1355 Airmotive Way
Reno, NV 89502-3218
Phone
(775) 826-1113
NPI assigned
May 1, 2007
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
Jared Raddigan
Title
Executive Director
Phone
(916) 577-7982

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X NV Primary

Addresses

Primary practice location

1355 Airmotive Way
Reno, NV 89502-3218

Mailing address

1050 Bible Way
Reno, NV 89502
Phone (775) 826-1113

Other identifiers 3

IdentifierTypeStateIssuer
100509042MedicaidNV
100507963MedicaidNV
100507964MedicaidNV

Other names 1

  • Koinonia Family Services Doing business as

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

1355 Airmotive Way
Reno, NV 89502
Phone (775) 826-1113

Practitioners & affiliated clinicians

Practitioners 21

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 21

NPI Registry JSON

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

{
    "created_epoch": "1177977600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1762128000000",
    "number": "1396966123",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1050 BIBLE WAY",
            "city": "RENO",
            "state": "NV",
            "postal_code": "89502",
            "telephone_number": "775-826-1113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1355 AIRMOTIVE WAY",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895023218",
            "telephone_number": "775-826-1113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KOINONIA FOSTER HOMES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-01",
        "last_updated": "2025-11-03",
        "certification_date": "2025-11-03",
        "status": "A",
        "authorized_official_last_name": "RADDIGAN",
        "authorized_official_first_name": "JARED",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "916-577-7982"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NV",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100509042",
            "state": "NV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100507963",
            "state": "NV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100507964",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Koinonia Family Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Reno, NV

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.