# COASTAL HOME CARE LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1346959996
- **Authorized official:** JOSEPH BONACCORSI (CHIEF LEGAL OFFICER)
- **Authorized official phone:** (312) 762-9999

## Contact information

- **Practice address:** 3920 ARKWRIGHT RD STE 185, MACON, GA 31210-1731
- **Practice address phone:** (478) 750-0886
- **Mailing address:** 33 S STATE ST FL 5, CHICAGO, IL 60603-2804

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 253Z00000X | In Home Supportive Care Agency | — | — | Yes |

## Other

- **Enumeration date:** 11/22/2022
- **Last updated:** 06/08/2026