Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

COASTAL ATLANTIC RESIDENTIAL ADULT PERSONAL CARE HOME
NPI 1952208589
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Savannah, GA

Q: What is Coastal Atlantic Residential Adult Personal Care Home's specialty?

The primary specialty registered for this NPI is Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320900000X.

Active since October 26, 2026

2104 CALIFORNIA AVE, SAVANNAH, GA 31404(912) 963-7190 Get Directions Write a Review

NPPES record added: October 26, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

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About Coastal Atlantic Residential Adult Personal Care Home NPPES

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

COASTAL ATLANTIC RESIDENTIAL ADULT PERSONAL CARE HOME (NPI 1952208589) is a healthcare organization registered as a community based residential treatment facility, intellectual and/or developmental disabilities in Savannah, Georgia and active in the NPI registry since October 2026. The organization maintains a secondary practice location in Savannah and lists Leonard Keith Mccoy, Administrator, as its authorized official.

NPPES Registry Identity

NPI1952208589

Entity TypeOrganization

Primary Taxonomy320900000X

Legal Business NameCOASTAL ATLANTIC RESIDENTIAL ADULT PERSONAL CARE HOME

Location Address2104 CALIFORNIA AVESavannah, GA 31404-2603

Mailing Address177 Cherry Laural LnSavannah, GA 31419-9495 · (912) 313-8276

Phone(912) 963-7190

Organization SubpartNo

Authorized OfficialLeonard Keith MccoyAdministrator · (912) 963-7190

Enumeration DateOctober 26, 2026

NPPES CertifiedOctober 22, 2026

✔ NPI 1952208589 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity Based Residential Treatment Facility, Intellectual and/or Developmental DisabilitiesResidential Treatment Facilities

Taxonomy Code320900000X

Definition

A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities.

2104 CALIFORNIA AVE, Savannah, GA 31404

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Other Names 1

Other NameCoastal Atlantic Residential Adult Pch 2

Secondary Practice Location 1

Location 15005 Jasmine AveSavannah, GA 31404-6006 · Phone (912) 963-7190

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 Atlantic Residential Adult Personal Care Home's NPI number?

The NPI number for Coastal Atlantic Residential Adult Personal Care Home is 1952208589. It was assigned to this organization in the NPPES registry on October 26, 2026. The provider is also known as Coastal Atlantic Residential Adult PCH 2.

Where is Coastal Atlantic Residential Adult Personal Care Home located?

Coastal Atlantic Residential Adult Personal Care Home is located at 2104 California Ave, Savannah, GA 31404. The listed phone number is (912) 963-7190.

What is Coastal Atlantic Residential Adult Personal Care Home's specialty?

The primary specialty registered for this NPI is Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320900000X.

When was this NPI record last updated?

The NPPES record for Coastal Atlantic Residential Adult Personal Care Home was last updated on October 26, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.