Provider Demographics
NPI:1316810427
Name:AAC BAPTIST ASSOCIATIONS' CAMP (CAMP KOINONIA)
Entity type:Organization
Organization Name:AAC BAPTIST ASSOCIATIONS' CAMP (CAMP KOINONIA)
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OCCUPATIONAL THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:ANGELINA
Authorized Official - Middle Name:
Authorized Official - Last Name:GILL
Authorized Official - Suffix:
Authorized Official - Credentials:OTR/L
Authorized Official - Phone:440-812-1787
Mailing Address - Street 1:6810 CORK COLD SPRINGS RD
Mailing Address - Street 2:
Mailing Address - City:GENEVA
Mailing Address - State:OH
Mailing Address - Zip Code:44041-9346
Mailing Address - Country:US
Mailing Address - Phone:440-466-1278
Mailing Address - Fax:
Practice Address - Street 1:6810 CORK COLD SPRINGS RD
Practice Address - Street 2:
Practice Address - City:GENEVA
Practice Address - State:OH
Practice Address - Zip Code:44041-9346
Practice Address - Country:US
Practice Address - Phone:440-466-1278
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-09-25
Last Update Date:2025-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes385HR2050XRespite Care FacilityRespite CareRespite Care Camp