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COUNTRYSIDE HAVEN ASSISTED LIVING
NPI 1396281887
Assisted Living Facility in Palm Harbor, FL

Active since January 09, 2017
6960 COUNTY ROAD 95, PALM HARBOR, FL 34684(727) 786-8461(727) 784-0425 Get Directions Write a Review

NPPES record last updated: January 9, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Countryside Haven Assisted Living NPPES

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

COUNTRYSIDE HAVEN ASSISTED LIVING (NPI 1396281887) is a healthcare organization registered as an assisted living facility in Palm Harbor, Florida and active in the NPI registry since January 2017. The organization lists Kathy Coogan, Owner, as its authorized official.

NPPES Registry Identity

NPI1396281887
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameCOUNTRYSIDE HAVEN ASSISTED LIVING
Location Address6960 COUNTY ROAD 95Palm Harbor, FL 34684-4403
Mailing Address6960 County Road 95Palm Harbor, FL 34684-4403 · (727) 786-8461 · Fax (727) 784-0425
Phone(727) 786-8461
Fax(727) 784-0425
Organization SubpartYesParent: Countryside Haven Assisted Living Llc
Authorized OfficialKathy CooganOwner · (727) 534-6766
Enumeration DateJanuary 9, 2017
✔ NPI 1396281887 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities
Taxonomy Code310400000X
License✔ Licensed in FL · AL5305
Definition
A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.
6960 COUNTY ROAD 95, Palm Harbor, FL 34684
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Other Providers at the Same Location NPPES 2

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

C AND M HEALTHCARE CORP.
Assisted Living Facility
6960 COUNTY ROAD 95
PALM HARBOR, FL 34684
Pinellas County (727) 786-8461
CITRUS AMBER OF FLORIDA INC
Assisted Living Facility
6960 COUNTY ROAD 95
PALM HARBOR, FL 34684
Pinellas County (240) 640-1583

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 Countryside Haven Assisted Living's NPI number?

The NPI number for Countryside Haven Assisted Living is 1396281887. It was assigned to this organization in the NPPES registry on January 9, 2017.

Where is Countryside Haven Assisted Living located?

Countryside Haven Assisted Living is located at 6960 County Road 95, Palm Harbor, FL 34684. The listed phone number is (727) 786-8461.

What is Countryside Haven Assisted Living's specialty?

The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.

When was this NPI record last updated?

The NPPES record for Countryside Haven Assisted Living was last updated on January 9, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.