NPI age
19 years
Enumerated 2006-07-01
● Active Type 2 · Organization
Coffee County Nursing Home Llc
Coffee County Nursing Home Llc is 1 of 794 skilled nursing facility organizations in Georgia.
Primary specialty
Skilled Nursing Facility
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Brigmond
Administrator
Last NPPES update
2026-02-17
Source: monthly bulk 2026-05
How this organization compares
Across 794 active skilled nursing facility providers in Georgia.
NPI age
19 years
↑ 2 yr above median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2006 → 2026
2006-07Enumerated in NPPES
2006
2026
Where they practice
Primary practice location
1310 Gordon St W
Douglas, GA 315333432
Mailing address
1310 Gordon St W
Douglas, GA 315333432
Authorized official
Tara Brigmond
Administrator
📞 9123847811
Specialties
-
Skilled Nursing Facility Primary(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...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 05 (GA) | 000142931A | |
| 01 | 51526538 001 | BCBS |
Other names on file (1)
Doing-business-as, former, and alternate names recorded by NPPES.
-
Vista Park Health and Rehabilitation
Practice context
Single-site organization. Only one practice location on file.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
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- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.