NPIMap

Organization Active NPI

Koinonia Foster Homes, Inc.

  • Foster Care Agency
  • San Bernardino, CA
National Provider Identifier
1902436744
Registry record updated Dec 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foster Care AgencyTaxonomy code 253J00000X
Legal business name
KOINONIA FOSTER HOMES, INC.
Practice address
1881 Business Center Dr Ste 10
San Bernardino, CA 92408-3465
Phone
(909) 890-2381
Fax
(909) 890-0580
NPI assigned
Jan 21, 2020
Organization subpart
Yes
Parent organization
KOINONIA FOSTER HOMES, INC.As reported in NPPES

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

National Provider Directory
Tax ID family
Koinonia Foster Homes Inc30 organizations share this tax ID, including this one
Part of
Koinonia Foster Homes Inc

Other organizations with this tax ID 29

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

View all 29

Locations

1881 Business Center Dr
Ste 10
San Bernardino, CA 92408
Phone (909) 890-2381

NPPES NPI Registry

Updated by the provider on Dec 16, 2025

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

Authorized official

Name
Jared Raddigan
Title
Executive Director
Phone
(916) 577-7982

Specialties & licenses 2

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

Addresses

Primary practice location

1881 Business Center Dr Ste 10
San Bernardino, CA 92408-3465

Mailing address

PO Box 1403
Loomis, CA 95650-1403
Phone (916) 652-5802

Other names 1

  • Koinonia Family Services Doing business as

NPI Registry JSON

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

{
    "created_epoch": "1579564800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1765843200000",
    "number": "1902436744",
    "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": "916-652-5802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1881 BUSINESS CENTER DR STE 10",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924083465",
            "telephone_number": "909-890-2381",
            "fax_number": "909-890-0580"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KOINONIA FOSTER HOMES, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "KOINONIA FOSTER HOMES, INC.",
        "enumeration_date": "2020-01-21",
        "last_updated": "2025-12-16",
        "certification_date": "2025-12-16",
        "status": "A",
        "authorized_official_last_name": "RADDIGAN",
        "authorized_official_first_name": "JARED",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "916-577-7982"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "253J00000X",
            "taxonomy_group": "",
            "desc": "Foster Care Agency",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Koinonia Family Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Bernardino, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 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.