NPIMap

Organization Active NPI

Koinonia Partners Unlimited LLC

  • Voluntary or Charitable Agency
  • Parma Heights, OH
National Provider Identifier
1962647024
Registry record updated Dec 3, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Voluntary or Charitable AgencyTaxonomy code 251V00000X
Legal business name
KOINONIA PARTNERS UNLIMITED LLC
Practice address
9999 W Ridgewood Dr
Parma Heights, OH 44130-8619
Phone
(440) 842-9616
NPI assigned
Dec 3, 2008
Organization subpart
Yes
Parent organization
KOINONIA PARTNERS UNLIMITED, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 3, 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

9999 W Ridgewood Dr
Parma Heights, OH 44130-8619

Mailing address

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

Other names 1

  • Ridgewood Home 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.

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": "1228262400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1228262400000",
    "number": "1962647024",
    "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": "9999 W RIDGEWOOD DR",
            "city": "PARMA HEIGHTS",
            "state": "OH",
            "postal_code": "441308619",
            "telephone_number": "440-842-9616"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KOINONIA PARTNERS UNLIMITED LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "KOINONIA PARTNERS UNLIMITED, LLC",
        "enumeration_date": "2008-12-03",
        "last_updated": "2008-12-03",
        "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": "Ridgewood Home",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Parma Heights, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 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.