NPIMap

Organization Active NPI

Koinonia Foster Homes, Inc.

Doing business as Koinonia Homes for Teens

  • Foster Care Agency
  • Loomis, CA
National Provider Identifier
1780184846
Registry record updated Nov 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foster Care AgencyTaxonomy code 253J00000X
License
0554.14.01 Issued in CA
Legal business name
KOINONIA FOSTER HOMES, INC.
Doing business as
Koinonia Homes for Teens
Practice address
5980 Webb St
Loomis, CA 95650-7625
Phone
(916) 652-0171
Fax
(916) 652-3979
NPI assigned
Feb 15, 2018
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
Mr. Jared Raddigan
Title
Executive Director
Phone
(916) 599-7982

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 0554.14 CA
Foster Care Agency 253J00000X 0554.14.01 CA Primary

Addresses

Primary practice location

5980 Webb St
Loomis, CA 95650-7625

Mailing address

PO Box 1403
Loomis, CA 95650-1403
Phone (916) 652-0171

Other practice location 1

5440 Paragon St
Rocklin, CA 95677-2217
Phone (916) 624-2636

Other practice location 2

6331 King Rd
Loomis, CA 95650-8801
Phone (916) 652-3842

Other practice location 3

12344 Incline Dr
Auburn, CA 95603-3512
Phone (530) 820-3497

Other practice location 4

8200 King Rd
Loomis, CA 95650-8813
Phone (916) 652-0546

Other practice location 5

3880 Oak Tree Ln
Loomis, CA 95650-9316
Phone (916) 652-6557

Other names 1

  • Koinonia Homes for Teens 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

5980 Webb St
Loomis, CA 95650
Phone (916) 652-0171

Practitioners & affiliated clinicians

Practitioners 18

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 18

NPI Registry JSON

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

{
    "created_epoch": "1518652800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1762128000000",
    "number": "1780184846",
    "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": "916-652-0171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5980 WEBB ST",
            "city": "LOOMIS",
            "state": "CA",
            "postal_code": "956507625",
            "telephone_number": "916-652-0171",
            "fax_number": "916-652-3979"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5440 Paragon St",
            "address_purpose": "LOCATION",
            "city": "Rocklin",
            "state": "CA",
            "postal_code": "956772217",
            "country_code": "US",
            "telephone_number": "916-624-2636",
            "fax_number": "916-652-3979",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6331 King Rd",
            "address_purpose": "LOCATION",
            "city": "Loomis",
            "state": "CA",
            "postal_code": "956508801",
            "country_code": "US",
            "telephone_number": "916-652-3842",
            "fax_number": "916-652-3979",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "12344 Incline Dr",
            "address_purpose": "LOCATION",
            "city": "Auburn",
            "state": "CA",
            "postal_code": "956033512",
            "country_code": "US",
            "telephone_number": "530-820-3497",
            "fax_number": "916-652-3979",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8200 King Rd",
            "address_purpose": "LOCATION",
            "city": "Loomis",
            "state": "CA",
            "postal_code": "956508813",
            "country_code": "US",
            "telephone_number": "916-652-0546",
            "fax_number": "916-652-3979",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3880 Oak Tree Ln",
            "address_purpose": "LOCATION",
            "city": "Loomis",
            "state": "CA",
            "postal_code": "956509316",
            "country_code": "US",
            "telephone_number": "916-652-6557",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "KOINONIA FOSTER HOMES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-15",
        "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": "916-599-7982",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "CA",
            "license": "0554.14",
            "primary": false
        },
        {
            "code": "253J00000X",
            "taxonomy_group": "",
            "desc": "Foster Care Agency",
            "state": "CA",
            "license": "0554.14.01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Koinonia Homes for Teens",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Koinonia Homes for Teens",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Loomis, 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.