Koinonia Homes, Inc.

Primary specialty

Nursing Care AgencyTaxonomy code 251J00000X

Legal business name

KOINONIA HOMES, INC.

Practice address

10000 Granger Rd
Garfield HTS, OH 44125-3102

Phone

(216) 662-8789

NPI assigned

Dec 14, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Diane Reynolds Beastrom

Title

Chief Executive Officer

Phone

(216) 588-8777

Specialties & licenses 5

Addresses

Other identifiers 1

Tax ID family

Koinonia Homes Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Koinonia Homes, Inc

  • Voluntary or Charitable Agency
  • Independence, OH
  • NPI 1891852299
  NPD tax ID

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

{
    "created_epoch": "1166054400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1972665149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6161 OAK TREE BLVD STE 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": "10000 GRANGER RD",
            "city": "GARFIELD HTS",
            "state": "OH",
            "postal_code": "441253102",
            "telephone_number": "216-662-8789"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KOINONIA HOMES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-14",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "BEASTROM",
        "authorized_official_first_name": "DIANE",
        "authorized_official_middle_name": "REYNOLDS",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "216-588-8777",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "OH",
            "license": null,
            "primary": false
        },
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": "OH",
            "license": null,
            "primary": true
        },
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "OH",
            "license": null,
            "primary": false
        },
        {
            "code": "347C00000X",
            "taxonomy_group": "",
            "desc": "Private Vehicle",
            "state": "OH",
            "license": null,
            "primary": false
        },
        {
            "code": "385HR2060X",
            "taxonomy_group": "",
            "desc": "Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child",
            "state": "OH",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0900949",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Emily Kervin
• Wael Khoury, MD
• Valerie King, M.A., CCC-SLP
• Jeanne Knotek, M.D.
• Lisa A Kodek, CNP
• Kondray Optical LLC
• Mark S Kreindel, MD
• Nicholas Joseph Lagrange
• Jeffrey Charles Lapeyrolerie, M.D.
• Melissa Lakeyia Lee

• Nursing Care Agency in Garfield HTS, OH
• Providers in Garfield HTS, OH by specialty
• Nursing Care Agency in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 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.