NPIMap

Organization Active NPI

Koinonia Partners Unlimited, LLC

Doing business as York Home

  • Voluntary or Charitable Agency
  • North Royalton, OH
National Provider Identifier
1851536965
Registry record updated Dec 4, 2008
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
York Home
Practice address
10002 York Rd
North Royalton, OH 44133-1544
Phone
(440) 230-2591
NPI assigned
Dec 4, 2008
Organization subpart
Yes
Parent organization
KOINONIA PARTNERS UNLIMITED, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 4, 2008

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

Authorized official

Name
Diane Beastrom
Title
Ceo
Phone
(216) 588-8777

Specialties & licenses 1

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

Addresses

Primary practice location

10002 York Rd
North Royalton, OH 44133-1544

Mailing address

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

Other names 1

  • York Home Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1851536965. Details of each certification follow.

  • CCN 36G508 Intermediate care facility for individuals with intellectual disabilities · Active · Name & address match · Details

Intermediate care facility for individuals with intellectual disabilities certification: CCN 36G508

Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.

Legal name
YORK HOME
Certification status
Active
Provider type (POS)
Intermediate care facility for individuals with intellectual disabilities
Participating since
Jan 11, 1996
Last certification
Jul 10, 2025
Beds
8
Ownership / control type
Private (non-profit)
Facility address
10002 York Road
North Royalton, OH 44133

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.

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.

NPI Registry JSON

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

{
    "created_epoch": "1228348800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1228348800000",
    "number": "1851536965",
    "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"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10002 YORK RD",
            "city": "NORTH ROYALTON",
            "state": "OH",
            "postal_code": "441331544",
            "telephone_number": "440-230-2591"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KOINONIA PARTNERS UNLIMITED, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "KOINONIA PARTNERS UNLIMITED, LLC",
        "enumeration_date": "2008-12-04",
        "last_updated": "2008-12-04",
        "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"
    },
    "taxonomies": [
        {
            "code": "251V00000X",
            "taxonomy_group": "",
            "desc": "Voluntary or Charitable",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "York Home",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in North Royalton, OH

Sources for this page

Verify at the official NPI Registry.