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Koinonia Foster Homes, Inc.

Organization Active NPI Case Management Agency · Lancaster, CA

NPI 1720523764 · NPPES record last updated Aug 18, 2026

Key facts

NPI
1720523764
Entity type
Organization (NPI type 2)
Primary specialty
Case Management Agency 251B00000X
Legal business name
KOINONIA FOSTER HOMES, INC.
Practice address
44811 Date Ave Ste D
Lancaster, CA 93534-3136
Phone
(661) 273-8122
Fax
(661) 273-6199
NPI assigned
Dec 29, 2016
Organization subpart
No

Authorized official

Name
Mr. Jared Raddigan
Title
Executive Director
Phone
(916) 652-5802

Corporate family (same tax ID) 29

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

View all 29

Practitioners 2

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

44811 Date Ave
Ste B
Lancaster, CA 93534
Phone (661) 273-8122

3011 Rancho Vista Blvd
Ste Ef
Palmdale, CA 93551
Phone (661) 273-8122

38345 30th St E
Ste A1
Palmdale, CA 93550

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X Yes
Community/Behavioral Health Agency 251S00000X

Addresses

Primary practice location

44811 Date Ave Ste D
Lancaster, CA 93534-3136

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 Aug 18, 2026.

{
    "created_epoch": "1482969600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1787011200000",
    "number": "1720523764",
    "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": "44811 DATE AVE STE D",
            "city": "LANCASTER",
            "state": "CA",
            "postal_code": "935343136",
            "telephone_number": "661-273-8122",
            "fax_number": "661-273-6199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KOINONIA FOSTER HOMES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-29",
        "last_updated": "2026-08-18",
        "certification_date": "2026-08-18",
        "status": "A",
        "authorized_official_last_name": "RADDIGAN",
        "authorized_official_first_name": "JARED",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "916-652-5802",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Koinonia Family Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lancaster, CA

All providers in Lancaster, CA · Case Management Agency in California

Sources for this page

Verify at the official NPI Registry.