Koinonia Community Services LLC
NPI 1154964542ActiveOrganization· Intermediate Care Facility, Intellectual Disabilities· Maple Heights, OH
Intermediate Care Facility, Intellectual Disabilities in Maple Heights, Ohio, registered in NPPES in October 2019, part of Koinonia Community Services LLC. The authorized official on file is Marilina Workman, Director Of Icf.
Overview
| NPI | 1154964542 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Koinonia Community Services LLC |
| NPI issued | Oct 18, 2019 |
| Last updated in NPPES | Oct 18, 2019 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Intermediate Care Facility, Intellectual Disabilities Primary | 315P00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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