Coastal Atlantic Residential Adult Personal Care Home

Primary specialty

Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X

Legal business name

COASTAL ATLANTIC RESIDENTIAL ADULT PERSONAL CARE HOME

Practice address

2104 California Ave
Savannah, GA 31404-2603

Phone

(912) 963-7190

NPI assigned

Oct 26, 2026

Last updated

Oct 26, 2026By 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

Prof. Leonard Keith McCoy

Title

Administrator

Phone

(912) 963-7190

Specialties & licenses 1

Addresses

Other names 1

• Coastal Atlantic Residential Adult PCH 2 Other name

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

{
    "created_epoch": "1792972800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1792972800000",
    "number": "1952208589",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "177 CHERRY LAURAL LN",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314199495",
            "telephone_number": "912-313-8276"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2104 CALIFORNIA AVE",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314042603",
            "telephone_number": "912-963-7190"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5005 Jasmine Ave",
            "address_purpose": "LOCATION",
            "city": "Savannah",
            "state": "GA",
            "postal_code": "314046006",
            "country_code": "US",
            "telephone_number": "912-963-7190",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "COASTAL ATLANTIC RESIDENTIAL ADULT PERSONAL CARE HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-10-26",
        "last_updated": "2026-10-26",
        "certification_date": "2026-10-22",
        "status": "A",
        "authorized_official_last_name": "MCCOY",
        "authorized_official_first_name": "LEONARD",
        "authorized_official_middle_name": "KEITH",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "912-963-7190",
        "authorized_official_name_prefix": "Prof."
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Coastal Atlantic Residential Adult PCH 2",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Savannah, GA
• Providers in Savannah, GA by specialty
• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2026; 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.