THE HOMESTEAD AT COON RAPIDS, INC.
NPI 1508324443
Assisted Living Facility - Assisted Living, Mental Illness in Coon Rapids, MN

Q: What is The Homestead At Coon Rapids, Inc.'s NPI number?

The NPI number for The Homestead At Coon Rapids, Inc. is 1508324443. It was assigned to this organization in the NPPES registry on March 11, 2019.

Q: What is The Homestead At Coon Rapids, Inc.'s specialty?

The primary specialty registered for this NPI is Assisted Living Facility, specializing in Assisted Living, Mental Illness, with taxonomy code 3104A0625X.

Active since March 11, 2019

1770 113TH LN NW, COON RAPIDS, MN 55433(763) 754-2800(763) 754-4800 Get Directions Write a Review

NPPES record last updated: February 5, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 5, 2021, Mar 11, 2019 (2 updates tracked since 2019).

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About The Homestead At Coon Rapids, Inc. NPPES

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

THE HOMESTEAD AT COON RAPIDS, INC. (NPI 1508324443) is a healthcare organization registered as an assisted living, mental illness in Coon Rapids, Minnesota and active in the NPI registry since March 2019. The organization lists Nancy Gavin, Assistant Secretary, as its authorized official.

NPPES Registry Identity

NPI1508324443

Entity TypeOrganization

Primary Taxonomy3104A0625X

Legal Business NameTHE HOMESTEAD AT COON RAPIDS, INC.

Location Address1770 113TH LN NWCoon Rapids, MN 55433-3019

Mailing Address1770 113th Ln NwCoon Rapids, MN 55433-3019 · (763) 754-2800 · Fax (763) 754-4800

Phone(763) 754-2800

Fax(763) 754-4800

Organization SubpartNo

Authorized OfficialNancy GavinAssistant Secretary · (952) 983-4249

Enumeration DateMarch 11, 2019

Last NPPES UpdateFebruary 5, 20212 updates tracked since enumeration

NPPES CertifiedFebruary 5, 2021

✔ NPI 1508324443 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAssisted Living Facility · Assisted Living, Mental IllnessNursing & Custodial Care Facilities

Taxonomy Code3104A0625X

Definition

A facility providing supportive services to individuals who can function independently in most areas of activity, but need special guidance, assistance and/or monitoring as the result of a psychiatric problem. This type of facility requires a staff with special training in mental health training and dealing with psychiatric emergencies.

1770 113TH LN NW, Coon Rapids, MN 55433

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Other Identifiers 1

MedicaidPENDINGMN

Other Providers at the Same Location NPPES

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

VOA CARE CENTERS, MINNESOTA

Assisted Living Facility

1770 113TH LN NW
COON RAPIDS, MN 55433

Anoka County (796) 754-3500

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 The Homestead At Coon Rapids, Inc.'s NPI number?

The NPI number for The Homestead At Coon Rapids, Inc. is 1508324443. It was assigned to this organization in the NPPES registry on March 11, 2019.

Where is The Homestead At Coon Rapids, Inc. located?

The Homestead At Coon Rapids, Inc. is located at 1770 113th Ln NW, Coon Rapids, MN 55433. The listed phone number is (763) 754-2800.

What is The Homestead At Coon Rapids, Inc.'s specialty?

The primary specialty registered for this NPI is Assisted Living Facility, specializing in Assisted Living, Mental Illness, with taxonomy code 3104A0625X.

When was this NPI record last updated?

The NPPES record for The Homestead At Coon Rapids, Inc. was last updated on February 5, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.