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The Homestead at Coon Rapids, Inc.

Assisted Living Facility (Mental Illness) in Coon Rapids, MN · enumerated 2019 · authorized official Nancy Gavin, Assistant Secretary.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1508324443

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Registry record

Entity type Organization (Type 2)
Legal business name The Homestead at Coon Rapids, Inc.
Practice address 1770 113th Ln Nw, Coon Rapids, MN, 55433
Fax (763) 754-4800
Enumeration date Mar 11, 2019
Last updated in NPPES Feb 5, 2021

Taxonomy & classification

3104A0625X Assisted Living Facility (Mental Illness) Nursing & Custodial Care Facilities Primary

Authorized official

Name Nancy Gavin
Title Assistant Secretary

Other identifiers

Identifier Type State Issuer
PENDING Medicaid MN -

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.

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Frequently asked questions

How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2021-02-05. Verify at npiregistry.cms.hhs.gov.
Where is The Homestead at Coon Rapids, Inc. located?
The practice location on file with NPPES is in Coon Rapids, MN.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2021-02-05.