OrganizationActive
Coffee County Nursing Home LLC
NPI 1881623098 · Skilled Nursing Facility · Douglas, GA
Provider details
- NPI number
- 1881623098
- Entity type
- Organization
- Primary specialty
- Skilled Nursing FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Tara Brigmond, Administrator(912) 384-7811
- License
- 1-034-1728 (GA)
Specialties & taxonomies
Nursing & Custodial Care Facilities
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1310 Gordon St W
Douglas, GA 31533-3432
Phone: (912) 384-7811
Fax: (912) 384-7695
Street-level locationGet directions
Mailing address
1310 Gordon St W
Douglas, GA 31533-3432
Other names (DBA / former)
- Doing business as
- Vista Park Health and Rehabilitation
Registry dates
- Enumerated
- 2006-07-01
- Last updated
- 2026-02-17
- Certified
- 2026-02-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.