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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

COASTAL HOME CARE, LLC
NPI 1780954412
In Home Supportive Care in Brunswick, GA

Active since January 11, 2012
777 GLOUCESTER ST STE 300, BRUNSWICK, GA 31520(912) 924-0003 Get Directions Write a Review

NPPES record last updated: June 17, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 7, 2022, Sep 15, 2022 (2 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 1780954412) is a healthcare organization registered as an in home supportive care in Brunswick, 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

NPI1780954412
Entity TypeOrganization
Primary Taxonomy253Z00000X
Legal Business NameCOASTAL HOME CARE, LLC
Location Address777 GLOUCESTER ST STE 300Brunswick, GA 31520-7068
Mailing Address33 S State St Fl 5Chicago, IL 60603-2804 · (312) 762-9999
Phone(912) 924-0003
Organization SubpartNo
Authorized OfficialJoseph BonaccorsiChief Legal Officer · (312) 762-9999
Enumeration DateJanuary 11, 2012
Last NPPES UpdateJune 17, 20262 updates tracked since enumeration
NPPES CertifiedJune 17, 2026
✔ NPI 1780954412 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyIn Home Supportive CareAgencies
Taxonomy Code253Z00000X
License✔ Licensed in GA · 016-R-0270
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 ListedNursing CareTaxonomy 251J00000X · License 016-R-0270 (GA)
777 GLOUCESTER ST STE 300, Brunswick, GA 31520
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Secondary Practice Location 1

Location 11149 Cornell Ave Ste 1ASavannah, GA 31406-2757 · Phone (912) 354-3680

Other Identifiers 1

Medicaid000552538ARGA

Other Providers at the Same Location NPPES 4

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

LISA CROSBY
Registered Nurse
777 GLOUCESTER ST STE 300
BRUNSWICK, GA 31520
Glynn County (912) 264-5363
COASTAL HOME CARE, LLC
In Home Supportive Care
777 GLOUCESTER ST STE 300
BRUNSWICK, GA 31520
Glynn County (912) 264-5363
COASTAL HOME CARE, LLC
Home Health
777 GLOUCESTER ST STE 300
BRUNSWICK, GA 31520
Glynn County (912) 264-5363
COASTAL HOME CARE, LLC
In Home Supportive Care
777 GLOUCESTER ST STE 300
BRUNSWICK, GA 31520
Glynn County (912) 264-5363

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 1780954412. It was assigned to this organization in the NPPES registry on January 11, 2012.

Where is Coastal Home Care, LLC located?

Coastal Home Care, LLC is located at 777 Gloucester St Ste 300, Brunswick, GA 31520. The listed phone number is (912) 924-0003.

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 June 17, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 51 days 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.