NPIMap

Organization Active NPI

Koinonia Partners Unlimited LLC

Doing business as Brookpark

  • Voluntary or Charitable Agency
  • Brookpark, OH
National Provider Identifier
1841762655
Registry record updated Dec 19, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Voluntary or Charitable AgencyTaxonomy code 251V00000X
Legal business name
KOINONIA PARTNERS UNLIMITED LLC
Doing business as
Brookpark
Practice address
6320 Smith Rd
Brookpark, OH 44142-3711
Phone
(216) 267-9777
NPI assigned
Dec 19, 2018
Last updated
Dec 19, 2018By the provider in NPPES
Organization subpart
Yes
Parent organization
KOINONIA PARTNERS UNLIMITED LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 19, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Marilina Workman
Title
Director
Phone
(216) 588-8777

Specialties & licenses 1

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

Addresses

Primary practice location

6320 Smith Rd
Brookpark, OH 44142-3711

Mailing address

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

Other names 1

  • Brookpark Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Koinonia Partners Unlimited LLC11 organizations share this tax ID, including this one
Part of
Koinonia Partners Unlimited LLC

Other organizations with this tax ID 10

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

Locations

6320 Smith Rd
Brook Park, OH 44142
Phone (216) 267-9777

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 10

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.

NPI Registry JSON

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

{
    "created_epoch": "1545177600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1545177600000",
    "number": "1841762655",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6161 OAK TREE BLVD",
            "city": "INDEPENDENCE",
            "state": "OH",
            "postal_code": "441312516",
            "telephone_number": "216-588-8777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6320 SMITH RD",
            "city": "BROOKPARK",
            "state": "OH",
            "postal_code": "441423711",
            "telephone_number": "216-267-9777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KOINONIA PARTNERS UNLIMITED LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "KOINONIA PARTNERS UNLIMITED LLC",
        "enumeration_date": "2018-12-19",
        "last_updated": "2018-12-19",
        "status": "A",
        "authorized_official_last_name": "WORKMAN",
        "authorized_official_first_name": "MARILINA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "216-588-8777"
    },
    "taxonomies": [
        {
            "code": "251V00000X",
            "taxonomy_group": "",
            "desc": "Voluntary or Charitable",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Brookpark",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Brookpark, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2018; 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.