Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Coffee County Nursing Home LLC

Organization Skilled Nursing Facility · NPI 1881623098

Coffee County Nursing Home LLC is a Skilled Nursing Facility in Douglas, Georgia. Licensed in Georgia. Registered with an NPI since 2006.

Licensed in
GA
In the registry since
2006
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

1310 Gordon St W
Douglas, GA 31533-3432
Phone: (912) 384-7811
Fax: (912) 384-7695
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Skilled Nursing Facility (primary) Taxonomy 314000000X · Licence 1-034-1728 (GA)

Record details

NPI number1881623098
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Tara Brigmond — Administrator · (912) 384-7811
Other names Vista Park Health And Rehabilitation
NPI enumeratedJuly 1, 2006
Last updated in NPPESFebruary 17, 2026
Certification dateFebruary 17, 2026
Mailing address1310 Gordon St W, Douglas, GA 31533-3432