MEDICARE: KOINONIA DEVELOPMENT CENTER

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	235Z00000X	Speech-Language Pathologist
2	373H00000X	Day Training/Habilitation Specialist
3	103T00000X	Psychologist
4	225100000X	Physical Therapist
5	385HR2050X	Respite Care Camp
6	225X00000X	Occupational Therapist

General Provider Information

NPI Number	:	1386517407
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	KOINONIA DEVELOPMENT CENTER

Provider Business Mailing Address
First Line	:	6810 CORK COLD SPRINGS RD
Second Line	:
City	:	GENEVA
State	:	OH
Zip	:	44041-9346
Country	:	US
Telephone Number	:	440-207-0609
Fax Number	:

Provider Business Practice Location Address
First Line	:	6810 CORK COLD SPRINGS RD
Second Line	:
City	:	GENEVA
State	:	OH
Zip	:	44041-9346
Country	:	US
Telephone Number	:	440-207-0629
Fax Number	:

Authorized Official
Title or Position	:	OCCUPATIONAL THERAPIST
Name	:	ANGELINA GILL
Credential	:	OTR/L
Telephone Number	:	440-207-0609

Provider Enumeration Date	:	09/25/2025
Last Update Date	:	11/07/2025

Similar Medicare Providers

1316810427 — AKRON ASHTABULA CLEVE BAPTIST ASSN CAMP KOINONIA
Practice Location Address:

6810 CORK COLD SPRINGS RD
GENEVA, OH
44041-9346

Practice Phone: 440-466-1278
Practice Fax:

1962975391 — ANGELINA GILL OTR/L
Practice Location Address:

6810 CORK COLD SPRINGS RD
GENEVA, OH
44041-9346

Practice Phone: 440-466-1278
Practice Fax:

1326918624 — KOINONIA OCCUPATIONAL THERAPY LLC
Practice Location Address:

6810 CORK COLD SPRINGS RD
GENEVA, OH
44041-9346

Practice Phone: 440-812-1787
Practice Fax:

1154352649 — MR. RONALD JAMES KONKOLY PCC, LICDC
Practice Location Address:

388 S BROADWAY , SUNRISE COUNSELING SERVICES
GENEVA, OH
44041-1809

Practice Phone: 440-466-0320
Practice Fax: 440-466-0319

1821951666 — COOPER OWENS DDS LLC
Practice Location Address:

220 E MAIN ST
GENEVA, OH
44041-1481

Practice Phone: 440-466-4884
Practice Fax:

1053035956 — MALLORY KRZYS PA-C
Practice Location Address:

1028 S BROADWAY
GENEVA, OH
44041-7124

Practice Phone: 647-705-1655
Practice Fax:

Directions to “KOINONIA DEVELOPMENT CENTER ” 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.