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

Coffee County Nursing Home, LLC

Organization Respite Care · NPI 1912036989

Coffee County Nursing Home, LLC is a Respite Care in Douglas, Georgia. Licensed in Georgia. Registered with an NPI since 2007.

Licensed in
GA
In the registry since
2007
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

Respite Care (primary) Taxonomy 385H00000X · Licence 1-056-1784 (GA)

Record details

NPI number1912036989
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kim Sheffield — Vp Of Financial Reporting · (478) 621-2100
Other names Shady Acres
NPI enumeratedMarch 5, 2007
Last updated in NPPESAugust 22, 2020
Mailing address1310 Gordon St W, Douglas, GA 31533-3432