OrganizationActive
Green Lakes LLC
NPI 1275123200 · Home Health Agency · Coon Rapids, MN
Green Lakes LLC is a Home Health Agency organization in Coon Rapids, MN (NPI 1275123200).
Provider details
- NPI number
- 1275123200
- Entity type
- Organization
- Primary specialty
- Home Health AgencyAgencies
- Organization subpart
- No
- Authorized official
- Folarin Adedeji, Director of Operations(612) 888-5040
Specialties & taxonomies
Agencies
Profile Score
Established profile(63/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
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
277 Coon Rapids Blvd Nw Ste 414
Coon Rapids, MN 55433-5865
Phone: (612) 888-5040
Fax: (612) 688-7440
Street-level locationGet directions
Mailing address
277 Coon Rapids Blvd Nw Ste 414
Coon Rapids, MN 55433-5865
Registry dates
- Enumerated
- 2021-01-23
- Last updated
- 2021-10-14
- Certified
- 2021-10-14
Frequently asked questions
- What is Green Lakes LLC's NPI number?
- Green Lakes LLC's National Provider Identifier (NPI) is 1275123200, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Green Lakes LLC?
- Green Lakes LLC is classified in the NPPES registry as Home Health Agency (Agencies).
- Where is Green Lakes LLC located?
- Green Lakes LLC's practice location on file with NPPES is 277 Coon Rapids Blvd Nw Ste 414, Coon Rapids, MN 55433-5865.
- What is Green Lakes LLC's phone number?
- The practice phone number listed in the NPPES registry for Green Lakes LLC is (612) 888-5040.
- Who is the authorized official for Green Lakes LLC?
- The authorized official listed on Green Lakes LLC's NPPES record is Folarin Adedeji, Director of Operations. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Green Lakes LLC's NPI active?
- Yes — Green Lakes LLC's NPI (1275123200) is active in the NPPES registry as of the last update on 2021-10-14.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.