OrganizationActive
The Homestead at Coon Rapids, Inc.
NPI 1508324443 · Assisted Living Facility (Mental Illness) · Coon Rapids, MN
Provider details
- NPI number
- 1508324443
- Entity type
- Organization
- Primary specialty
- Assisted Living Facility (Mental Illness)Nursing & Custodial Care Facilities
- Authorized official
- Nancy Gavin, Assistant Secretary
Practice location
1770 113th Ln Nw
Coon Rapids, MN 55433-3019
Phone: (763) 754-2800
Fax: (763) 754-4800
Mailing address
1770 113th Ln Nw
Coon Rapids, MN 55433-3019
Registry dates
- Enumerated
- 2019-03-11
- Last updated
- 2021-02-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.