OrganizationActive
Coffee County Nursing Home, LLC
NPI 1912036989 · Respite Care · Douglas, GA
Provider details
- NPI number
- 1912036989
- Entity type
- Organization
- Primary specialty
- Respite CareRespite Care Facility
- Organization subpart
- No
- Authorized official
- Kim Sheffield, Vp of Financial Reporting(478) 621-2100
- License
- 1-056-1784 (GA)
Specialties & taxonomies
Respite Care Facility
Profile Score
Detailed profile(89/100 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
- Shady Acres
Registry dates
- Enumerated
- 2007-03-05
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.