MEDICARE: KOINONIA PARTNERS UNLIMITED LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251V00000X	Voluntary or Charitable Agency

General Provider Information

NPI Number	:	1164676227
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	KOINONIA PARTNERS UNLIMITED LLC

Provider Business Mailing Address
First Line	:	6161 OAK TREE BLVD
Second Line	:	SUITE #400
City	:	INDEPENDENCE
State	:	OH
Zip	:	44131-2516
Country	:	US
Telephone Number	:	216-588-8777
Fax Number	:	216-588-5670

Provider Business Practice Location Address
First Line	:	6161 OAK TREE BLVD
Second Line	:	SUITE #400
City	:	INDEPENDENCE
State	:	OH
Zip	:	44131-2516
Country	:	US
Telephone Number	:	216-588-8777
Fax Number	:	216-588-5670

Authorized Official
Title or Position	:	CEO
Name	:	MRS. DIANE BEASTROM
Credential	:
Telephone Number	:	216-588-8777

Provider Enumeration Date	:	11/15/2008
Last Update Date	:	11/15/2008

Similar Medicare Providers

1407714868 — VINCENT ERVIN RICE
Practice Location Address:

6161 OAK TREE BLVD
INDEPENDENCE, OH
44131-2516

Practice Phone: 614-844-3800
Practice Fax:

1215894092 — NICOLE M HUNTER
Practice Location Address:

6161 OAK TREE BLVD
INDEPENDENCE, OH
44131-2516

Practice Phone: 216-200-4415
Practice Fax:

1891852299 — KOINONIA HOMES, INC
Practice Location Address:

6161 OAK TREE BLVD , SUITE 400
INDEPENDENCE, OH
44131-2516

Practice Phone: 216-588-8777
Practice Fax: 216-588-5670

1518111673 — KOINONIA ENTERPRISES LLC
Practice Location Address:

6161 OAK TREE BLVD , SUITE #400
INDEPENDENCE, OH
44131-2516

Practice Phone: 216-588-8777
Practice Fax: 216-588-5670

1790939858 — KOINONIA COMMUNITY SERVICES LLC
Practice Location Address:

6161 OAK TREE BLVD , SUITE #400
INDEPENDENCE, OH
44131-2516

Practice Phone: 216-588-8777
Practice Fax: 216-588-5670

1861967325 — BRITTANY RENEE ELDRIDGE BA, LSW
Practice Location Address:

6161 OAK TREE BLVD
INDEPENDENCE, OH
44131-2516

Practice Phone: 216-588-8777
Practice Fax:

Directions to “KOINONIA PARTNERS UNLIMITED LLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.