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COFFEE COUNTY NURSING HOME LLC
NPI 1881623098
Skilled Nursing Facility in Douglas, GA

Active since July 01, 2006
1310 GORDON ST W, DOUGLAS, GA 31533(912) 384-7811(912) 384-7695 Get Directions Write a Review

NPPES record last updated: February 17, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Coffee County Nursing Home Llc NPPES

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

COFFEE COUNTY NURSING HOME LLC (NPI 1881623098), doing business as Vista Park Health And Rehabilitation, is a healthcare organization registered as a skilled nursing facility in Douglas, Georgia and active in the NPI registry since July 2006. The organization lists Tara Brigmond, Administrator, as its authorized official.

NPPES Registry Identity

NPI1881623098
Entity TypeOrganization
Primary Taxonomy314000000X
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 OfficialTara BrigmondAdministrator · (912) 384-7811
Enumeration DateJuly 1, 2006
Last NPPES UpdateFebruary 17, 2026
NPPES CertifiedFebruary 17, 2026
✔ NPI 1881623098 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySkilled Nursing FacilityNursing & Custodial Care Facilities
Taxonomy Code314000000X
License✔ Licensed in GA · 1-034-1728
Definition
(1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis.
1310 GORDON ST W, Douglas, GA 31533
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Other Names 1

Doing Business AsVista Park Health And Rehabilitation

Other Identifiers 2

Medicaid000142931AGA
Other51526538 001Bcbs

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
Clinic/Center (Adult Day Care)
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 1881623098. It was assigned to this organization in the NPPES registry on July 1, 2006. The provider is doing business as Vista Park Health and Rehabilitation.

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 Skilled Nursing Facility with taxonomy code 314000000X.

When was this NPI record last updated?

The NPPES record for Coffee County Nursing Home LLC was last updated on February 17, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months 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.