Koastal Home Care LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

KOASTAL HOME CARE LLC

Practice address

8530 Eagle Point Blvd Ste 100
Suite 100
Lake Elmo, MN 55042-8648

Phone

(763) 257-6780

NPI assigned

Mar 19, 2025

Last updated

Oct 29, 2025By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Other Other

Title

Manager

Phone

(763) 257-6780

Specialties & licenses 1

Addresses

Other names 1

• Koastal Home Care LLC Other name

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1742342400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1761696000000",
    "number": "1366242117",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8530 EAGLE POINT BLVD STE 100",
            "address_2": "SUITE 100",
            "city": "LAKE ELMO",
            "state": "MN",
            "postal_code": "550428648",
            "telephone_number": "763-257-6780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8530 EAGLE POINT BLVD STE 100",
            "address_2": "SUITE 100",
            "city": "LAKE ELMO",
            "state": "MN",
            "postal_code": "550428648",
            "telephone_number": "763-257-6780"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KOASTAL HOME CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-03-19",
        "last_updated": "2025-10-29",
        "certification_date": "2025-10-29",
        "status": "A",
        "authorized_official_last_name": "OTHER",
        "authorized_official_first_name": "OTHER",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "763-257-6780"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Koastal Home Care LLC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Hannah Kajer, LICSW
• Joshua A Kary, DC
• Kelli Schmitt Kester, LADC
• Grace Lillian Kilgore, LGSW
• Andrew Klotz, MA
• Aaron Christopher Koen, MASSAGE THERAPIST
• Luciano I Kolodny, MD
• Mykaela D Korn, DPT
• Laboratory Corporation of America Holdings
• Lake Elmo Pharmacy

• Home Health Agency in Lake Elmo, MN
• Providers in Lake Elmo, MN by specialty
• Home Health Agency in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.