Koinonia Foster Homes, Inc.

Organization Active NPI Foster Care Agency · Loomis, CA

NPI 1780184846 · NPPES record last updated Nov 3, 2025

Key facts

NPI
1780184846
Entity type
Organization (NPI type 2)
Primary specialty
Foster Care Agency 253J00000X
License
0554.14.01 (CA)
Legal business name
KOINONIA FOSTER HOMES, INC.
Practice address
5980 Webb St
Loomis, CA 95650-7625
Phone
(916) 652-0171
Fax
(916) 652-3979
NPI assigned
Feb 15, 2018
Organization subpart
No

Authorized official

Name
Mr. Jared Raddigan
Title
Executive Director
Phone
(916) 599-7982

Corporate family (same tax ID) 29

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

View all 29

Practitioners 18

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)

Specialties & licenses

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

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

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

Other practice location 2

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

Other practice location 3

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

Other practice location 4

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

Other practice location 5

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

Other identifiers

IdentifierTypeStateIssuer
0554.14.01OtherCADSS AFDC-FC

Other names

  • Koinonia Homes for Teens Doing business as

Other providers in Loomis, CA

All providers in Loomis, CA · Foster Care Agency in California

Sources for this page

Verify at the official NPI Registry.