SHADY ACRES
NPI 1730218702
Clinic/Center - Adult Day Care in Douglas, GA

Q: What is Coffee County Nursing Home, LLC's NPI number?

The NPI number for Coffee County Nursing Home, LLC is 1730218702. It was assigned to this organization in the NPPES registry on March 5, 2007. The provider is doing business as Shady Acres.

Q: What is Coffee County Nursing Home, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Adult Day Care, with taxonomy code 261QA0600X.

Active since March 05, 2007

1310 GORDON ST W, DOUGLAS, GA 31533(912) 384-7811(912) 384-7695 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Shady Acres NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SHADY ACRES (NPI 1730218702) is a healthcare organization registered as an adult day care in Douglas, Georgia and active in the NPI registry since March 2007. The organization lists Kim Sheffield, Vp Of Financial Reporting, as its authorized official.

NPPES Registry Identity

NPI1730218702

Entity TypeOrganization

Primary Taxonomy261QA0600X

Legal Business NameCOFFEE COUNTY NURSING HOME, LLC

Location Address1310 GORDON ST WDouglas, GA 31533-3432

Mailing Address1310 Gordon St WDouglas, GA 31533-3432 · (912) 384-7811 · Fax (912) 384-7695

Phone(912) 384-7811

Fax(912) 384-7695

Organization SubpartNo

Authorized OfficialKim SheffieldVp Of Financial Reporting · (478) 621-2100

Enumeration DateMarch 5, 2007

Last NPPES UpdateAugust 22, 2020

✔ NPI 1730218702 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Adult Day CareAmbulatory Health Care Facilities

Taxonomy Code261QA0600X

License✔ Licensed in GA · 1-056-1784

1310 GORDON ST W, Douglas, GA 31533

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Other Names 1

Doing Business AsShady Acres

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

COFFEE COUNTY NURSING HOME LLC

Skilled Nursing Facility

1310 GORDON ST W
DOUGLAS, GA 31533

Coffee County (912) 384-7811

COFFEE COUNTY NURSING HOME, LLC

Respite Care

1310 GORDON ST W
DOUGLAS, GA 31533

Coffee County (912) 384-7811

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Coffee County Nursing Home, LLC's NPI number?

The NPI number for Coffee County Nursing Home, LLC is 1730218702. It was assigned to this organization in the NPPES registry on March 5, 2007. The provider is doing business as Shady Acres.

Where is Coffee County Nursing Home, LLC located?

Coffee County Nursing Home, LLC is located at 1310 Gordon St W, Douglas, GA 31533. The listed phone number is (912) 384-7811.

What is Coffee County Nursing Home, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Adult Day Care, with taxonomy code 261QA0600X.

When was this NPI record last updated?

The NPPES record for Coffee County Nursing Home, LLC was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.