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

Koinonia Foster Homes, Inc

Organization Mental Illness Community Based Residential Treatment Facility · NPI 1831506534

Koinonia Foster Homes, Inc is a Mental Illness Community Based Residential Treatment Facility in Antelope, California. Licensed in California. Registered with an NPI since 2014.

Licensed in
CA
In the registry since
2014
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

4232 Big Cloud Way
Antelope, CA 95843-2406
Phone: (916) 652-0171
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Illness Community Based Residential Treatment Facility (primary) Taxonomy 320800000X · Licence 80129 (CA)

Record details

NPI number1831506534
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jared Raddigan — Executive Director · (916) 577-7982
Other names Koinonia Homes For Teens
NPI enumeratedJuly 15, 2014
Last updated in NPPESNovember 3, 2025
Certification dateNovember 3, 2025
Mailing addressPo Box 1403, Loomis, CA 95650-1403