Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Green Lakes LLC

Organization Home Health Agency · NPI 1275123200

Green Lakes LLC is a Home Health Agency in Coon Rapids, Minnesota. Registered with an NPI since 2021.

In the registry since
2021
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

277 Coon Rapids Blvd NW Ste 414
Coon Rapids, MN 55433-5865
Phone: (612) 888-5040
Fax: (612) 688-7440
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Home Health Agency (primary) Taxonomy 251E00000X

Record details

NPI number1275123200
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Folarin Adedeji — Director Of Operations · (612) 888-5040
NPI enumeratedJanuary 23, 2021
Last updated in NPPESOctober 14, 2021
Certification dateOctober 14, 2021
Mailing address277 Coon Rapids Blvd Nw Ste 414, Coon Rapids, MN 55433-5865

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