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Koinonia Foster Homes, Inc.

Organization Active NPI Community/Behavioral Health Agency · Gardena, CA

NPI 1467997403 · NPPES record last updated Nov 3, 2025

Key facts

NPI
1467997403
Entity type
Organization (NPI type 2)
Primary specialty
Community/Behavioral Health Agency 251S00000X
Legal business name
KOINONIA FOSTER HOMES, INC.
Practice address
1225 W 190TH St Ste 255
Gardena, CA 90248-4342
Phone
(310) 217-0930
Fax
(310) 217-0907
NPI assigned
Dec 29, 2016
Organization subpart
No

Authorized official

Name
Jared Raddigan
Title
Executive Director
Phone
(916) 577-7982

Corporate family (same tax ID) 29

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

View all 29

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

Tax ID family
Koinonia Foster Homes Inc (30 organizations share this tax ID)

Locations

550 E Carson Plaza Dr
Ste 200
Carson, CA 90746

1225 W 190th St
Ste 255
Gardena, CA 90248
Phone (310) 217-0930

Specialties & licenses

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

Addresses

Primary practice location

1225 W 190TH St Ste 255
Gardena, CA 90248-4342

Mailing address

PO Box 1403
Loomis, CA 95650-1403
Phone (916) 652-5802

Other names

  • Koinonia Family Services Doing business as

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Nov 3, 2025.

{
    "created_epoch": "1482969600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1762128000000",
    "number": "1467997403",
    "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": "916-652-5802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1225 W 190TH ST STE 255",
            "city": "GARDENA",
            "state": "CA",
            "postal_code": "902484342",
            "telephone_number": "310-217-0930",
            "fax_number": "310-217-0907"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KOINONIA FOSTER HOMES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-29",
        "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": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Koinonia Family Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Gardena, CA

All providers in Gardena, CA · Community/Behavioral Health Agency in California

Sources for this page

Verify at the official NPI Registry.