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SOUTH COAST HOME LLC
NPI 1033776919
Residential Treatment Facility, Intellectual and/or Developmental Disabilities in South Haven, MI

Active since May 25, 2019
72633 M 43, SOUTH HAVEN, MI 49090(269) 998-9349 Get Directions Write a Review

NPPES record last updated: February 26, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About South Coast Home Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SOUTH COAST HOME LLC (NPI 1033776919) is a healthcare organization registered as a residential treatment facility, intellectual and/or developmental disabilities in South Haven, Michigan and active in the NPI registry since May 2019. The organization lists Chester Kwiatkowski, Licensee/owner, as its authorized official.

NPPES Registry Identity

NPI1033776919
Entity TypeOrganization
Primary Taxonomy320600000X
Legal Business NameSOUTH COAST HOME LLC
Location Address72633 M 43South Haven, MI 49090-8734
Mailing AddressPo Box 29Macatawa, MI 49434-0029
Phone(269) 998-9349
Organization SubpartNo
Authorized OfficialChester KwiatkowskiLicensee/owner · (269) 998-9349
Enumeration DateMay 25, 2019
Last NPPES UpdateFebruary 26, 2024
NPPES CertifiedFebruary 26, 2024
✔ NPI 1033776919 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyResidential Treatment Facility, Intellectual and/or Developmental DisabilitiesResidential Treatment Facilities
Taxonomy Code320600000X
Definition
A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently.
72633 M 43, South Haven, MI 49090
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is South Coast Home LLC's NPI number?

The NPI number for South Coast Home LLC is 1033776919. It was assigned to this organization in the NPPES registry on May 25, 2019.

Where is South Coast Home LLC located?

South Coast Home LLC is located at 72633 M 43, South Haven, MI 49090. The listed phone number is (269) 998-9349.

What is South Coast Home LLC's specialty?

The primary specialty registered for this NPI is Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320600000X.

When was this NPI record last updated?

The NPPES record for South Coast Home LLC was last updated on February 26, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.