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Coffee County Nursing Home LLC

Skilled Nursing Facility in Douglas, GA · enumerated 2006 · authorized official Tara Brigmond, Administrator.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1881623098

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Registry record

Entity type Organization (Type 2)
Legal business name Coffee County Nursing Home LLC
Other name <Unavail>
Practice address 1310 Gordon St W, Douglas, GA, 31533
Fax (912) 384-7695
Enumeration date Jul 1, 2006
Last updated in NPPES Feb 17, 2026

Taxonomy & classification

314000000X Skilled Nursing Facility Nursing & Custodial Care Facilities · License 1-034-1728 (GA) Primary

Authorized official

Name Tara Brigmond
Title Administrator

Other identifiers

Identifier Type State Issuer
000142931A Medicaid GA -
51526538 001 Other - BCBS

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Where is Coffee County Nursing Home LLC located?
The practice location on file with NPPES is in Douglas, GA.
How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2026-02-17. Verify at npiregistry.cms.hhs.gov.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2026-02-17.