NPIMap

Organization Active NPI

Koinonia Community Services LLC

  • Voluntary or Charitable Agency
  • Independence, OH
National Provider Identifier
1790939858
Registry record updated Nov 15, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Voluntary or Charitable AgencyTaxonomy code 251V00000X
Legal business name
KOINONIA COMMUNITY SERVICES 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
Last updated
Nov 15, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2008

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

Specialty (taxonomy)CodeLicenseStatePrimary
Voluntary or Charitable Agency 251V00000X Primary

Addresses

Primary practice location

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

Mailing address

6161 Oak Tree Blvd
Suite #400
Independence, OH 44131-2516
Phone (216) 588-8777

National Provider Directory

National Provider Directory
Tax ID family
Koinonia Community Services LLC10 organizations share this tax ID, including this one

Other organizations with this tax ID 9

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

Ownership & related parties

Subparts reporting this organization as parent 9

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

NPI Registry JSON

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": "1790939858",
    "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 COMMUNITY SERVICES 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": []
}

Other providers in Independence, OH

Sources for this page

  • 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.