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

The Homestead at Coon Rapids, Inc

Organization Assisted Living Facility (Mental Illness) · NPI 1508324443

The Homestead at Coon Rapids, Inc is an Assisted Living Facility (Mental Illness) in Coon Rapids, Minnesota. Registered with an NPI since 2019.

In the registry since
2019
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1770 113th Ln NW
Coon Rapids, MN 55433-3019
Phone: (763) 754-2800
Fax: (763) 754-4800
Show map & directions

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

Specialties & licences

Assisted Living Facility (Mental Illness) (primary) Taxonomy 3104A0625X

Record details

NPI number1508324443
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Nancy Gavin — Assistant Secretary · (952) 983-4249
NPI enumeratedMarch 11, 2019
Last updated in NPPESFebruary 5, 2021
Certification dateFebruary 5, 2021
Mailing address1770 113th Ln Nw, Coon Rapids, MN 55433-3019

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