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:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1063781839 | NPPES |
| Florida | MEDICAID | 004387200 |
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