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COASTAL HOME CARE, LLC
NPI 1104197920
In Home Supportive Care in Columbus, GA

Active since January 25, 2012
1309 VIRGINIA ST, COLUMBUS, GA 31901(706) 400-4396 Get Directions Write a Review

NPPES record last updated: April 29, 2025. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Feb 8, 2023, Jan 30, 2023, Oct 7, 2022 and 1 more (4 updates tracked since 2022).

About Coastal Home Care, Llc NPPES

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

COASTAL HOME CARE, LLC (NPI 1104197920) is a healthcare organization registered as an in home supportive care in Columbus, Georgia and active in the NPI registry since January 2012. The organization maintains a secondary practice location in Savannah and lists Joseph Bonaccorsi, Chief Legal Officer, as its authorized official.

NPPES Registry Identity

NPI1104197920
Entity TypeOrganization
Primary Taxonomy253Z00000X
Legal Business NameCOASTAL HOME CARE, LLC
Location Address1309 VIRGINIA STColumbus, GA 31901-2569
Mailing Address33 S State St Fl 5Chicago, IL 60603-2804 · (312) 762-9999 · Fax (912) 352-9601
Phone(706) 400-4396
Organization SubpartNo
Authorized OfficialJoseph BonaccorsiChief Legal Officer · (312) 762-9999
Enumeration DateJanuary 25, 2012
Last NPPES UpdateApril 29, 20254 updates tracked since enumeration
NPPES CertifiedApril 29, 2025
✔ NPI 1104197920 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyIn Home Supportive CareAgencies
Taxonomy Code253Z00000X
Definition
An In Home Supportive Care Agency provides services in the patient's home with the goal of enabling the patient to remain at home. The services provided may include personal care services such as hands-on assistance with activities of daily living (ADLs), e.g., eating, bathing, dressing, and bladder and bowel requirements; homemaker services and instrumental activities of daily living (IADLs), e.g., taking medications, shopping for groceries, laundry, housekeeping, and companionship; and/or supervision or cuing so that a person can perform tasks themselves.
Also ListedEmergency Response System CompaniesTaxonomy 333300000X
1309 VIRGINIA ST, Columbus, GA 31901
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Secondary Practice Location 1

Location 11149 Cornell Ave Ste ASavannah, GA 31406-2700 · Phone (912) 354-3680

Other Identifiers 1

Medicaid000552538BOGA

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JANUS RX LLC
Pharmacy (Long Term Care Pharmacy)
1309 VIRGINIA ST
COLUMBUS, GA 31901
Muscogee County (706) 576-5862

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 Coastal Home Care, LLC's NPI number?

The NPI number for Coastal Home Care, LLC is 1104197920. It was assigned to this organization in the NPPES registry on January 25, 2012.

Where is Coastal Home Care, LLC located?

Coastal Home Care, LLC is located at 1309 Virginia St, Columbus, GA 31901. The listed phone number is (706) 400-4396.

What is Coastal Home Care, LLC's specialty?

The primary specialty registered for this NPI is In Home Supportive Care with taxonomy code 253Z00000X.

When was this NPI record last updated?

The NPPES record for Coastal Home Care, LLC was last updated on April 29, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months 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.