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Contact Information

COASTAL HOME CARE, LLC
1149 CORNELL AVE STE A
SAVANNAH, GA31406-2700
 Phone: 912-354-3680
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

In Home Supportive Care

253Z00000X
 

Nursing Care

251J00000X
Indicates primary specialty

NPI Profile & details for COASTAL HOME CARE, LLC

NPI # 1780954412
LBN Legal business name COASTAL HOME CARE, LLC
Authorized official JOSEPH BONACCORSI - (CHIEF LEGAL OFFICER)
Entity Organization
Organization subpart 1 No
Enumeration date 01/11/2012
Last updated 04/29/2025 - More than a year ago
Identifiers
GA License # 016-R-0270
GA Medicaid 000552538AR
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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