The Homestead At Coon Rapids, Inc.

LBN: The Homestead At Coon Rapids, Inc.
The Homestead At Coon Rapids, Inc. is an health care organization with primary practice located at 11372 Robinson Dr Nw , Coon Rapids MN 55433-4071. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Assisted Living Facility, which is considered as the primary health care specialty. The Homestead At Coon Rapids, Inc. can be contacted via phone (763) 233-5100, or through Gavin, Nancy via phone (952) 983-4249.

Contact Information

Primary practice address
11372 Robinson Dr Nw Coon Rapids MN 55433-4071
Phone: (763) 233-5100
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Gavin, Nancy
Phone: (952) 983-4249

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Assisted Living Facility 310400000X

Profile Details

NPI number 1578028585
LBN Legal business name The Homestead At Coon Rapids, Inc.
DBA Doing business as
Authorized official Gavin, Nancy
Entity Organization
Organization subpart 1 No
Enumeration date Feb 4th, 2019
Last updated Feb 5th, 2021 - about 5 years 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 1578028585 NPPES
Minnesota MEDICAID PENDING

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