COUNTRYSIDE REHAB AND HEALTHCARE CENTER
NPI 1396791349
Skilled Nursing Facility in Palm Harbor, FL

NPI Status: Active since May 25, 2006

Contact Information

3825 COUNTRYSIDE BLVD N
PALM HARBOR, FL
ZIP 34684
Phone: (727) 784-2848
Fax: (727) 781-1402

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  • Organization
  • Skilled Nursing Facility
  • Accepts Insurance

About COUNTRYSIDE REHAB AND HEALTHCARE CENTER

This page provides the complete NPI Profile along with additional information for Countryside Rehab And Healthcare Center, a provider established in Palm Harbor, Florida operating as a Skilled Nursing Facility. The healthcare provider is registered in the NPI registry with number 1396791349 assigned on May 2006. The practitioner's primary taxonomy code is 314000000X with license number SNF11060962 (FL). The provider is registered as an organization and their NPI record was last updated 14 years ago. The provider's is doing business as Countryside Rehab And Healthcare Center. The authorized official of this NPI record is Sandra A. Ryczek (Manager)

NPI
1396791349
Provider Legal Name
COUNTRYSIDE HEALTH CARE ASSOCIATES LLC
Other Organization Name
COUNTRYSIDE REHAB AND HEALTHCARE CENTER
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
3825 COUNTRYSIDE BLVD N PALM HARBOR, FL 34684
Location Phone
(727) 784-2848
Location Fax
(727) 781-1402
Mailing Address
3825 COUNTRYSIDE BLVD N PALM HARBOR, FL 34684
Mailing Phone
(727) 784-2848
Mailing Fax
(727) 781-1402
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
05-25-2006
Last Update Date
08-02-2012
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Skilled Nursing Facility

Taxonomy Code
314000000X
Type
Nursing & Custodial Care Facilities
License No.
SNF11060962
License State
FL
Taxonomy Description
(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.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • BlueOptions Bronze (HSA) 24J01-10 (Rewards / $4 Condition Care Rx) - PPO
  • BlueOptions Bronze 24J01-04 (3 PCP Visits for $0 then $55 / $70 Specialist Visits / Rewards) - PPO
  • BlueOptions Bronze 24J01-06 (Rewards) - PPO
  • BlueOptions Bronze 24J01-17 ($50 PCP Visits / Rewards) - PPO
  • BlueOptions Bronze 24J01-18S ($50 PCP Visits / Rewards) - PPO
  • BlueOptions Gold 24J01-09 ($0 Deductible / $15 PCP Visits / $75 Specialist Visits / $20 Labs / Rewards) - PPO
  • BlueOptions Gold 24J01-12 ($40 PCP Visits / $75 Specialist Visits / $15 Labs / Rewards) - PPO
  • BlueOptions Gold 24J01-20S ($30 PCP Visits / $60 Specialist Visits / Rewards) - PPO
  • BlueOptions Platinum 24J01-05 ($0 Labs / $15 PCP Visits / $35 Specialist Visits / Rewards) - PPO
  • BlueOptions Platinum 24J01-08 ($0 Deductible / $0 Labs / $15 PCP Visits / $25 Specialist Visits / Rewards) - PPO
  • BlueOptions Platinum 24J01-21S ($0 Deductible / $10 PCP Visits / $20 Specialist Visits / Rewards) - PPO
  • BlueOptions Silver 24J01-03 ($10 Labs / Rewards) - PPO
  • BlueOptions Silver 24J01-07 ($50 PCP Visits / Rewards) - PPO
  • BlueOptions Silver 24J01-19S ($40 PCP Visits / $80 Specialist Visits / Rewards) - PPO
  • BlueSelect Bronze (HSA) 1735 (Rewards / $4 Condition Care Rx) - EPO
  • BlueSelect Bronze 1449 (3 PCP Visits for $0 then $55 / $70 Specialist Visits / Rewards) - EPO
  • BlueSelect Bronze 2139 ($50 PCP Visits / Rewards) - EPO
  • BlueSelect Bronze 2139E ($50 PCP Visits / Adult Dental & Vision / Rewards) - EPO
  • BlueSelect Bronze 2139V ($50 PCP Visits / Adult Vision / Rewards) - EPO
  • BlueSelect Bronze 2342S ($50 PCP Visits / Rewards) - EPO
  • BlueCare Bronze (HSA) 24K01-09 (Rewards / $4 Condition Care Rx) - POS
  • BlueCare Bronze 24K01-03 (3 PCP Visits for $0 then $55 / $70 Specialist Visits / Rewards) - POS
  • BlueCare Bronze 24K01-05 (Rewards) - POS
  • BlueCare Bronze 24K01-25 ($50 PCP Visits / $75 Specialist Visits / Rewards) - POS
  • BlueCare Bronze 24K01-31S ($50 PCP Visits / Rewards) - POS
  • BlueCare Bronze 24K02-17 (3 PCP Visits for $0 then $55 / $70 Specialist Visits / Rewards) - POS
  • BlueCare Bronze 24K02-18 (Rewards) - POS
  • BlueCare Bronze 24K02-23 ($50 PCP Visits / $75 Specialist Visits / Rewards) - POS
  • BlueCare Bronze 24K02-26S ($50 PCP Visits / Rewards) - POS
  • BlueCare Gold 24K01-08 ($0 Deductible / $15 PCP Visits / $75 Specialist Visits / $20 Labs / Rewards) - POS
  • BlueCare Gold 24K01-10 ($40 PCP Visits / $75 Specialist Visits / $15 Labs / Rewards) - POS
  • BlueCare Gold 24K01-33S ($30 PCP Visits / $60 Specialist Visits / Rewards) - POS
  • BlueCare Gold 24K02-20 ($0 Deductible / $15 PCP Visits / $75 Specialist Visits / $20 Labs / Rewards) - POS
  • BlueCare Gold 24K02-28S ($30 PCP Visits / $60 Specialist Visits / Rewards) - POS
  • BlueCare Platinum 24K01-04 ($0 Labs / $15 PCP Visits / $35 Specialist Visits / Rewards) - POS
  • BlueCare Platinum 24K01-07 ($0 Deductible / $0 Labs / $15 PCP Visits / $25 Specialist Visits / Rewards) - POS
  • BlueCare Platinum 24K01-34S ($0 Deductible / $10 PCP Visits / $20 Specialist Visits / Rewards) - POS
  • BlueCare Platinum 24K02-15 ($0 Deductible / $0 Labs / $15 PCP Visits / $25 Specialist Visits / Rewards) - POS
  • BlueCare Platinum 24K02-29S ($0 Deductible / $10 PCP Visits / $20 Specialist Visits / Rewards) - POS
  • BlueCare Silver 24K01-02 ($10 Labs / Rewards) - POS

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

SANDRA A. RYCZEK

Authorized Official Title
MANAGER
Authorized Official Phone
(727) 784-2848

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
025211500MEDICAID (05)FL 
105587MEDICARE OSCAR/CERTIFICATION (06) 

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1396791349, we treat the final digit (9) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 71. The final step is to find the difference between that total and the next multiple of ten (80 - 71 = 9).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
3
Unchanged
Pos 3
9
Doubled → 18 → 1 + 8
Pos 4
6
Unchanged
Pos 5
7
Doubled → 14 → 1 + 4
Pos 6
9
Unchanged
Pos 7
1
Doubled → 2
Pos 8
3
Unchanged
Pos 9
4
Doubled → 8
Check
9
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 9 → 18 → 9 7 → 14 → 5 1 → 2 4 → 8

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 3 + 1 + 8 + 6 + 1 + 4 + 9 + 2 + 3 + 8 + 24 = 71

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 71 is 80. The difference is the calculated check digit.

80 - 71 = 9
This NPI is valid
The calculated check digit is 9, which matches the last digit of 1396791349.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

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

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1396791349, enumerated as an "organization" on May 25, 2006.

The provider is located at 3825 COUNTRYSIDE BLVD N PALM HARBOR, FL 34684 and the phone number is (727) 784-2848.

Skilled Nursing Facility with taxonomy code 314000000X.

The provider might be accepting Accepts: Florida Blue (BlueCross BlueShield FL), Florida. Please consult your insurance carrier or call the provider to verify.