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KOASTAL HOME CARE LLC
NPI 1366242117
Home Health in Lake Elmo, MN

Active since March 19, 2025
8530 EAGLE POINT BLVD STE 100, SUITE 100, LAKE ELMO, MN 55042(763) 257-6780 Get Directions Write a Review

NPPES record last updated: October 29, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 10, 2025, Mar 19, 2025 (2 updates tracked since 2025).

About Koastal Home Care Llc NPPES

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

KOASTAL HOME CARE LLC (NPI 1366242117) is a healthcare organization registered as a home health in Lake Elmo, Minnesota and active in the NPI registry since March 2025. The organization lists Other Other, Manager, as its authorized official.

NPPES Registry Identity

NPI1366242117
Entity TypeOrganization
Primary Taxonomy251E00000X
Legal Business NameKOASTAL HOME CARE LLC
Location Address8530 EAGLE POINT BLVD STE 100, SUITE 100Lake Elmo, MN 55042-8648
Mailing Address8530 Eagle Point Blvd Ste 100, Suite 100Lake Elmo, MN 55042-8648 · (763) 257-6780
Phone(763) 257-6780
Organization SubpartNo
Authorized OfficialOther OtherManager · (763) 257-6780
Enumeration DateMarch 19, 2025
Last NPPES UpdateOctober 29, 20252 updates tracked since enumeration
NPPES CertifiedOctober 29, 2025
✔ NPI 1366242117 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyHome HealthAgencies
Taxonomy Code251E00000X
Definition
A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.
8530 EAGLE POINT BLVD STE 100, Lake Elmo, MN 55042
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Other Names 1

Other NameKoastal Home Care Llc

Other Providers at the Same Location NPPES 20

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

WHIT WONDER WISDOM COUNSELING INC
Clinic/Center (Mental Health (Including Community Mental Health Center))
8530 EAGLE POINT BLVD STE 100
LAKE ELMO, MN 55042
Washington County (612) 361-9448
WHITNEY KELTNER WESSELS MSW, LICSW
Social Worker (Clinical)
8530 EAGLE POINT BLVD STE 100
LAKE ELMO, MN 55042
Washington County (763) 328-0606
ABIOLA ADEDIPE
Behavior Technician
8530 EAGLE POINT BLVD STE 100
LAKE ELMO, MN 55042
Washington County (651) 303-7365
VENTHOUSE COUNSELING
Counselor (Mental Health)
8530 EAGLE POINT BLVD STE 100
LAKE ELMO, MN 55042
Washington County (612) 562-6766
DAHIR SALAT
Behavior Technician
8530 EAGLE POINT BLVD STE 100
LAKE ELMO, MN 55042
Washington County (651) 303-7365
ALEXANDER MAAS
Counselor (Mental Health)
8530 EAGLE POINT BLVD STE 100
LAKE ELMO, MN 55042
Washington County (612) 548-1135
AURORA THERAPY SERVICES LLC
Early Intervention Provider Agency
8530 EAGLE POINT BLVD STE 100
LAKE ELMO, MN 55042
Washington County (612) 500-1885
HAMDA DIRRIR
Behavior Technician
8530 EAGLE POINT BLVD STE 100
LAKE ELMO, MN 55042
Washington County (651) 303-7365

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 Koastal Home Care LLC's NPI number?

The NPI number for Koastal Home Care LLC is 1366242117. It was assigned to this organization in the NPPES registry on March 19, 2025.

Where is Koastal Home Care LLC located?

Koastal Home Care LLC is located at 8530 Eagle Point Blvd Ste 100 Suite 100, Lake Elmo, MN 55042. The listed phone number is (763) 257-6780.

What is Koastal Home Care LLC's specialty?

The primary specialty registered for this NPI is Home Health with taxonomy code 251E00000X.

When was this NPI record last updated?

The NPPES record for Koastal Home Care LLC was last updated on October 29, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.