Green Lakes LLC

Green Lakes LLC is a healthcare organization registered as Home Health Agency in Coon Rapids, MN, holding Type 2 (organization) NPI 1275123200 since 2021. The authorized official on file is Folarin Adedeji, Director of Operations.

✓ Active NPI ✓ Valid NPI checksum

NPI	1275123200
Entity type	Organization (Type 2)
Legal business name	Green Lakes LLC
Practice address	277 COON RAPIDS BLVD NW STE 414, Coon Rapids, MN, 55433
Phone	6128885040
Fax	6126887440
Enumeration date	2021-01-23
Last updated in NPPES	2021-10-14

Authorized official

Name	Folarin Adedeji
Title	Director of Operations
Phone	6128885040

Taxonomy & classification

Taxonomy code	Specialty	Primary	License	State
251E00000X	Home Health Agency	Primary	—	—

Copy-ready billing details

Provider: Green Lakes LLC
NPI: 1275123200
Taxonomy: 251E00000X (Home Health Agency)
Address: 277 COON RAPIDS BLVD NW STE 414, Coon Rapids, MN, 55433

Providers at this address

NPI	Name	Type	Specialty	Location
1972173961	Yashmin Nagujja	Individual	Psychiatric/Mental Health Nurse Practitioner	Coon Rapids, MN
1821791096	Growth & Healing Services	Organization	Community/Behavioral Health Agency	Coon Rapids, MN
1780556233	Sere Path Wellness Center LLC	Organization	Adult Psychiatric/Mental Health Clinical Nurse Specialist	Coon Rapids, MN

Verify this record

Cross-check NPI 1275123200 against the authoritative CMS record: view Green Lakes LLC on the official NPPES registry .

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.

Frequently asked questions

Where is Green Lakes LLC located?

The practice location on file with NPPES is in Coon Rapids, MN.

How current is this record?

Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2021-10-14. Verify at npiregistry.cms.hhs.gov.

Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2021-10-14.