KOINONIA COMMUNITY SERVICES LLC (NPI# 1215570692) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215570692 |
| Entity Type | Organization |
| Organization Name | KOINONIA COMMUNITY SERVICES LLC |
| Practice Address |
6809 Smith Rd Middleburg Heights OH 44130-2681 |
| Mailing Address |
6161 Oak Tree Blvd Ste 400 Independence OH 44131-2581 |
| Practice Telephone | 2163621740 |
| Practice Fax Number | 2163626227 |
| Mailing Telephone | 2165888777 |
| Mailing Fax Number | 2165885670 |
| Enumeration Date | 2019-10-18 |
| Last Update Date | 2019-10-18 |
| Authorized Official Name | MARILINA WORKMAN (DIRECTOR OF ICF) |
| Authorized Official Telephone | 2165888777 |
| Is Organization Subpart | Y |
| Parent Organization Name | KOINONIA COMMUNITY SERVICES LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 315P00000X | Intermediate Care Facility, Mentally Retarded | Nursing & Custodial Care Facilities |
| Other Name | Type Code |
|---|---|
| Smith House | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710520663 | Koinonia Community Services LLC | Intermediate Care Facility, Mentally Retarded | 6797 Stearns Road, Olmsted Twp, OH 44138 | 2019-10-23 |
| 1659914596 | Koinonia Community Services LLC | Intermediate Care Facility, Mentally Retarded | 6577 Broadview Rd, Seven Hills, OH 44131-3522 | 2019-10-23 |
| 1154964542 | Koinonia Community Services LLC | Intermediate Care Facility, Mentally Retarded | 5041 Lee Rd, Maple Heights, OH 44137-1227 | 2019-10-18 |
| 1972146371 | Koinonia Community Services LLC | Intermediate Care Facility, Mentally Retarded | 2491 E Wallings Rd, Broadview Heights, OH 44147-1371 | 2019-10-18 |
| 1235772633 | Koinonia Community Services LLC | Intermediate Care Facility, Mentally Retarded | 7325 Lamson Rd, Oakwood Village, OH 44146-5846 | 2019-10-18 |
| 1770126161 | Koinonia Community Services LLC | Intermediate Care Facility, Mentally Retarded | 4711 E Sprague Rd, Independence, OH 44131-6227 | 2019-10-18 |
| 1457994840 | Koinonia Community Services LLC | Intermediate Care Facility, Mentally Retarded | 2980 Van Aken Blvd, Cleveland, OH 44120-2862 | 2019-10-18 |
| 1447893821 | Koinonia Community Services LLC | Intermediate Care Facility, Mentally Retarded | 4248 W 35th St, Cleveland, OH 44109-3108 | 2019-10-18 |
| 1790939858 | Koinonia Community Services LLC | Voluntary or Charitable | 6161 Oak Tree Blvd, Suite #400, Independence, OH 44131-2516 | 2008-11-15 |
| Street Address |
6809 SMITH RD |
| City | MIDDLEBURG HEIGHTS |
| State | OH |
| Zip Code | 44130-2681 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912545427 | Northeast Care Center, Inc. | Intermediate Care Facility, Mentally Retarded | 19080 Bagley Road, Middleburg Hts., OH 44130 | 2019-12-16 |
| 1982189148 | Carl Steinhoff | Registered Nurse | 13766 Cherokee Trail, Middleburg Heights, OH 44130 | 2018-10-03 |
| 1649756321 | Beatrice Shepherd | Counselor | 5253 Hauserman Rd Apt 212, Parma, OH 44130 | 2018-07-16 |
| 1841705068 | New Heights Aba, LLC | Behavioral Analyst | 6908 Engle Rd Ste D, Middleburg Heights, OH 44130 | 2017-12-11 |
| 1275059842 | Tynisha Nicole Nation | Registered Nurse | 6431 Olde York, Parma Hts, OH 44130 | 2017-08-16 |
| 1609328558 | Lisa Wolanin | Physical Therapist | 186970bagley Road, Middleburg Hts, OH 44130 | 2016-10-26 |
| 1184074205 | Tanya Makowski | Nurse Practitioner | 7215 Old Oak Blvd Ste A420, Cleveland, OH 44130 | 2016-06-20 |
| 1093165706 | Dana Hyde | Dentist | 7528 Pearl Rd, Middleburg Heights, OH 44130 | 2016-06-14 |
| 1689046625 | Kimberly Ann Piro | Nurse Practitioner | 12240 Zona Ln, Parma, OH 44130 | 2015-10-29 |
| 1225400088 | Larrise Williford | Registered Nurse | 11491 Sharon Dr Apt C705, Parma, OH 44130 | 2015-10-20 |
| Find all providers in zip 44130 | ||||
| Taxonomy Code | 315P00000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Intermediate Care Facility, Mentally Retarded |
| (1) A public institution for care of the mentally retarded or people with related conditions. (2) An institution giving active treatment to mentally retarded or developmentally disabled persons or persons with related conditions. The primary purpose of the institution is to provide health or rehabilitative services to such individuals. |
| Notes: Sources: (1) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, IL: 1994, p. 403 (2) Paraphrased from Code of Federal Regulations #42, Public Health, Section 440.150(c). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164020616 | Viaquest Healthcare Central | Intermediate Care Facility, Mentally Retarded | 6873 Dave Dr, Madison, OH 44057-1105 | 2020-10-15 |
| 1366056210 | Res-care Ohio, Inc. | Intermediate Care Facility, Mentally Retarded | 410 Abbe Road, Sheffield Lake, OH 44054 | 2020-09-08 |
| 1619581568 | Res-care Ohio, Inc. | Intermediate Care Facility, Mentally Retarded | 460 Abbe Road, Sheffield Lake, OH 44054 | 2020-09-08 |
| 1548874589 | Res-care Ohio, Inc. | Intermediate Care Facility, Mentally Retarded | 448 Opportunity Way, Lagrange, OH 44050-9021 | 2020-09-08 |
| 1194339044 | Res-care Ohio, Inc. | Intermediate Care Facility, Mentally Retarded | 5230 East Lake Road, Sheffield Lake, OH 44054 | 2020-09-08 |
| 1326652496 | Res-care Ohio, Inc. | Intermediate Care Facility, Mentally Retarded | 801 Robinwood, Sheffield Lake, OH 44054 | 2020-09-04 |
| 1346854890 | Res-care Ohio, Inc. | Intermediate Care Facility, Mentally Retarded | 426 Opportunity Way, Lagrange, OH 44050-9021 | 2020-09-02 |
| 1144841438 | Wood Lane Residential Services | Intermediate Care Facility, Mentally Retarded | 355 W Main St., Portage, OH 43451-9802 | 2020-04-28 |
| 1689209009 | 333 Therapeutics Consulting LLC | Intermediate Care Facility, Mentally Retarded | 331 Toby Rd, Eaton, OH 45320-9529 | 2020-03-05 |
| 1700418258 | Jewish Family Service Association | Intermediate Care Facility, Mentally Retarded | 8132 Cedar Rd, Chesterland, OH 44026-3548 | 2020-02-12 |
| Find all providers with the same taxonomy | ||||
| City | MIDDLEBURG HEIGHTS |
| Zip Code | 44130 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.