Coastal Home Care, Llc

LBN: Coastal Home Care, Llc
Coastal Home Care, Llc is an health care organization with primary practice located at 3805 Crestwood Pkwy Nw Ste 320 , Duluth GA 30096-7164. The organization recently has 2 registered licenses in different health care specialties including Agencies / Home Health, Agencies / In Home Supportive Care. Agencies / Home Health is the primary health care specialty. Coastal Home Care, Llc can be contacted via phone (470) 617-9401, or through Bonaccorsi, Joseph via phone (312) 762-9999.

Contact Information

Primary practice address
3805 Crestwood Pkwy Nw Ste 320 Duluth GA 30096-7164
Phone: (470) 617-9401
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Bonaccorsi, Joseph
Phone: (312) 762-9999

Health care specialties

SpecialtyCodeLicense #State
Agencies / Home Health 251E00000X 085-R-1045 Georgia
Agencies / Home Health 251E00000X
Agencies / In Home Supportive Care 253Z00000X

Profile Details

NPI number 1619318052
LBN Legal business name Coastal Home Care, Llc
DBA Doing business as
Authorized official Bonaccorsi, Joseph
Entity Organization
Organization subpart 1 No
Enumeration date Jul 15th, 2013
Last updated Jun 8th, 2026 - about 5 months ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1619318052 NPPES
Georgia MEDICAID 370024140A
Georgia Other 060-R-0226
Georgia MEDICAID 000552538CC

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