NPIMap

Organization Active NPI

Koinonia Foster Homes Inc

  • Community Health Worker
  • Lake Elsinore, CA
National Provider Identifier
1740022334
Registry record updated Nov 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Health WorkerTaxonomy code 172V00000X
Legal business name
KOINONIA FOSTER HOMES INC
Practice address
24135 Hibiscus LN
Lake Elsinore, CA 92532-2716
Phone
(951) 852-1516
NPI assigned
Jun 12, 2024
Organization subpart
No

Authorized official

NPPES NPI Registry
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 1

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

  • Arveal Hawkins
    • Community Health Worker
    • Temecula, CA
    • NPI 1679359269
    NPD Community Health Worker

National Provider Directory

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

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Community Health WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 172V00000X Primary

Addresses

NPPES NPI Registry

Primary practice location

24135 Hibiscus LN
Lake Elsinore, CA 92532-2716

Mailing address

41689 Enterprise Cir N
Temecula, CA 92590-5630
Phone (951) 587-4165

NPI Registry JSON

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

{
    "created_epoch": "1718150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1762128000000",
    "number": "1740022334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41689 ENTERPRISE CIR N",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "925905630",
            "telephone_number": "951-587-4165"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24135 HIBISCUS LN",
            "city": "LAKE ELSINORE",
            "state": "CA",
            "postal_code": "925322716",
            "telephone_number": "951-852-1516"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KOINONIA FOSTER HOMES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-12",
        "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": "172V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Community Health Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Elsinore, 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.