COUNTRYSIDE REHAB AND HEALTHCARE CENTER
NPI 1063781839
Skilled Nursing Facility in Palm Harbor, FL

Active since December 22, 2011
3825 COUNTRYSIDE BLVD N, PALM HARBOR, FL 34684(727) 784-2848(727) 781-1402 Get Directions Write a Review

NPPES record last updated: November 27, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 9, 2019, Sep 12, 2016 (2 updates tracked since 2016).

About Countryside Rehab And Healthcare Center NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

COUNTRYSIDE REHAB AND HEALTHCARE CENTER (NPI 1063781839) is a healthcare organization registered as a skilled nursing facility in Palm Harbor, Florida and active in the NPI registry since December 2011. The organization lists Kenneth Ussery, Vp, as its authorized official.

NPPES Registry Identity

NPI1063781839
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business Name3825 COUNTRYSIDE BOULEVARD OPERATIONS LLC
Location Address3825 COUNTRYSIDE BLVD NPalm Harbor, FL 34684-4928
Mailing Address3825 Countryside Blvd NPalm Harbor, FL 34684-4928 · (727) 784-2848 · Fax (727) 781-1402
Fax(727) 781-1402
Organization SubpartNo
Authorized OfficialKenneth UsseryVp · (407) 571-1550
Enumeration DateDecember 22, 2011
Last NPPES UpdateNovember 27, 20232 updates tracked since enumeration
NPPES CertifiedApril 27, 2020
NPI 1063781839 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySkilled Nursing FacilityNursing & Custodial Care Facilities
Taxonomy Code314000000X
License Licensed in FL · SNF11060962
Definition
(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 requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis.
3825 COUNTRYSIDE BLVD N, Palm Harbor, FL 34684

Other Names 1

Doing Business AsCountryside Rehab And Healthcare Center

Other Identifiers 1

Medicaid004387200FL

Accepted Insurance

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physical Therapy Assistant
3825 COUNTRYSIDE BLVD N
PALM HARBOR, FL 34684
Physical Therapist
3825 COUNTRYSIDE BLVD N
PALM HARBOR, FL 34684
Speech-Language Pathologist
3825 COUNTRYSIDE BLVD N
PALM HARBOR, FL 34684
Occupational Therapy Assistant
3825 COUNTRYSIDE BLVD N
PALM HARBOR, FL 34684
Speech-Language Pathologist
3825 COUNTRYSIDE BLVD N
PALM HARBOR, FL 34684
Occupational Therapy Assistant
3825 COUNTRYSIDE BLVD N
PALM HARBOR, FL 34684
Physical Therapy Assistant
3825 COUNTRYSIDE BLVD N
PALM HARBOR, FL 34684
Occupational Therapy Assistant
3825 COUNTRYSIDE BLVD N
PALM HARBOR, FL 34684

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is 3825 Countryside Boulevard Operations LLC's NPI number?

The NPI number for 3825 Countryside Boulevard Operations LLC is 1063781839. It was assigned to this organization in the NPPES registry on December 22, 2011. The provider is doing business as Countryside Rehab And Healthcare Center.

Where is 3825 Countryside Boulevard Operations LLC located?

3825 Countryside Boulevard Operations LLC is located at 3825 Countryside Blvd N, Palm Harbor, FL 34684. The listed phone number is (727) 784-2848.

What is 3825 Countryside Boulevard Operations LLC's specialty?

The primary specialty registered for this NPI is Skilled Nursing Facility with taxonomy code 314000000X.

What insurance does 3825 Countryside Boulevard Operations LLC accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Ambetter of Alabama, Health First Commercial Plans, Inc. and Molina Healthcare and 1 other insurer list 3825 Countryside Boulevard Operations LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for 3825 Countryside Boulevard Operations LLC was last updated on November 27, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.