Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Koinonia Foster Homes, Inc

Organization Community Health Worker · NPI 1457896490

Koinonia Foster Homes, Inc is a Community Health Worker in Tustin, California. Registered with an NPI since 2016.

In the registry since
2016
Specialties on file
2
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

17821 17th St Ste 240
Tustin, CA 92780-2173
Phone: (714) 777-5540
Fax: (714) 777-5546
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Community/Behavioral Health Agency (primary) Taxonomy 251S00000X
Community Health Worker Taxonomy 172V00000X

Record details

NPI number1457896490
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jared Raddigan — Executive Director · (916) 577-7982
NPI enumeratedDecember 29, 2016
Last updated in NPPESNovember 3, 2025
Certification dateNovember 3, 2025
Mailing addressPo Box 1403, Loomis, CA 95650-1403

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