Koinonia Enterprises LLC

Primary specialty

Voluntary or Charitable AgencyTaxonomy code 251V00000X

Legal business name

KOINONIA ENTERPRISES LLC

Practice address

6161 Oak Tree Blvd
Suite #400
Independence, OH 44131-2516

Phone

(216) 588-8777

Fax

(216) 588-5670

NPI assigned

Nov 15, 2008

Organization subpart

No

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

Authorized official

Name

Mrs. Diane Beastrom

Title

Ceo

Phone

(216) 588-8777

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1226707200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1226707200000",
    "number": "1518111673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6161 OAK TREE BLVD",
            "address_2": "SUITE #400",
            "city": "INDEPENDENCE",
            "state": "OH",
            "postal_code": "441312516",
            "telephone_number": "216-588-8777",
            "fax_number": "216-588-5670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6161 OAK TREE BLVD",
            "address_2": "SUITE #400",
            "city": "INDEPENDENCE",
            "state": "OH",
            "postal_code": "441312516",
            "telephone_number": "216-588-8777",
            "fax_number": "216-588-5670"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KOINONIA ENTERPRISES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-15",
        "last_updated": "2008-11-15",
        "status": "A",
        "authorized_official_last_name": "BEASTROM",
        "authorized_official_first_name": "DIANE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "216-588-8777",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251V00000X",
            "taxonomy_group": "",
            "desc": "Voluntary or Charitable",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashley Knight, LSW
• Bethany Ann Koch, SLP
• Koinonia Behavioral Health, LLC
• Koinonia Community Services LLC (Independence House)
• Koinonia Community Services LLC
• Koinonia Homes, Inc
• Koinonia Partners Unlimited LLC
• Ronnie R Kramer
• Ksu Foot & Ankle Clinic (Cleveland Foot & Ankle Clinic)
• Rachel Marie Kubiak

• Voluntary or Charitable Agency in Independence, OH
• Providers in Independence, OH by specialty
• Voluntary or Charitable Agency in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2008; 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.