Countryside Rehab And Healthcare Center

LBN: 3825 Countryside Boulevard Operations Llc
Countryside Rehab And Healthcare Center is an health care organization with primary practice located at 3825 Countryside Blvd N , Palm Harbor FL 34684-4928. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Skilled Nursing Facility, which is considered as the primary health care specialty. 3825 Countryside Boulevard Operations Llc can be contacted via phone (727) 784-2848, or through Ussery, Kenneth via phone (407) 571-1550.

Contact Information

Primary practice address
3825 Countryside Blvd N Palm Harbor FL 34684-4928
Phone: (727) 784-2848
Fax: (727) 781-1402
Website:
Map and Directions
Authorized official contact:
Name: Ussery, Kenneth
Phone: (407) 571-1550

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X SNF11060962 Florida

Profile Details

NPI number 1063781839
LBN Legal business name 3825 Countryside Boulevard Operations Llc
DBA Doing business as Countryside Rehab And Healthcare Center
Authorized official Ussery, Kenneth
Entity Organization
Organization subpart 1 No
Enumeration date Dec 22nd, 2011
Last updated Nov 27th, 2023 - about last year

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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Identifiers

StateTypeNumberIssuer
All States NPI 1063781839 NPPES
Florida MEDICAID 004387200

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