OrganizationActive
Coastal Home Care, LLC
NPI 1194909713 · Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Savannah, GA
Provider details
- NPI number
- 1194909713
- Entity type
- Organization
- Primary specialty
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Joseph Bonaccorsi, Chief Legal Officer(312) 762-9999
- License
- 025-R-0271 (GA)
Specialties & taxonomies
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityPrimary320900000XLicense 025-R-0271 (GA)
Residential Treatment Facilities
Profile Score
Detailed profile(92/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
6602 Abercorn St Ste 200
Savannah, GA 31405-5849
Phone: (912) 354-3680
Street-level locationGet directions
Mailing address
33 S State St Fl 5
Chicago, IL 60603-2804
Additional practice locations (1)
- 359 Commercial DrSuite ESavannah, GA 31406-3620Phone: (912) 629-4076
Registry dates
- Enumerated
- 2007-12-18
- Last updated
- 2022-10-07
- Certified
- 2022-10-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.