Shady Acres

LBN: Coffee County Nursing Home, Llc
Shady Acres is an health care organization with primary practice located at 1310 Gordon St W , Douglas GA 31533-3432. The organization recently has only one registered license in Ambulatory Health Care Facilities / Adult Day Care, which is considered as the primary health care specialty. Coffee County Nursing Home, Llc can be contacted via phone (912) 384-7811, or through Sheffield, Kim via phone (478) 621-2100.

Contact Information

Primary practice address
1310 Gordon St W Douglas GA 31533-3432
Fax: (912) 384-7695
Website:
Authorized official contact:
Name: Sheffield, Kim

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Adult Day Care 261QA0600X 1-056-1784 Georgia

Profile Details

NPI number 1730218702
LBN Legal business name Coffee County Nursing Home, Llc
DBA Doing business as Shady Acres
Authorized official Sheffield, Kim
Entity Organization
Organization subpart 1 No
Enumeration date Mar 5th, 2007
Last updated Aug 22nd, 2020 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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