3825 Countryside Boulevard Operations LLC
NPI 1063781839 · Skilled Nursing Facility · Palm Harbor, FL
3825 Countryside Boulevard Operations LLC is a Skilled Nursing Facility organization in Palm Harbor, FL (NPI 1063781839).
Provider details
- NPI number
- 1063781839
- Entity type
- Organization
- Primary specialty
- Skilled Nursing FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Kenneth Ussery, Vp(407) 571-1550
- License
- SNF11060962 (FL)
Specialties & taxonomies
Nursing & Custodial Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
14 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Countryside Rehab and Healthcare Center
- Doing business as
- Countryside Rehab and Healthcare Center
Registry dates
- Enumerated
- 2011-12-22
- Last updated
- 2023-11-27
- Certified
- 2020-04-27
Frequently asked questions
- What is 3825 Countryside Boulevard Operations LLC's NPI number?
- 3825 Countryside Boulevard Operations LLC's National Provider Identifier (NPI) is 1063781839, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is 3825 Countryside Boulevard Operations LLC?
- 3825 Countryside Boulevard Operations LLC is classified in the NPPES registry as Skilled Nursing Facility (Nursing & Custodial Care Facilities).
- Where is 3825 Countryside Boulevard Operations LLC located?
- 3825 Countryside Boulevard Operations LLC's practice location on file with NPPES is 3825 Countryside Blvd N, Palm Harbor, FL 34684-4928.
- What is 3825 Countryside Boulevard Operations LLC's phone number?
- The practice phone number listed in the NPPES registry for 3825 Countryside Boulevard Operations LLC is (727) 784-2848.
- Who is the authorized official for 3825 Countryside Boulevard Operations LLC?
- The authorized official listed on 3825 Countryside Boulevard Operations LLC's NPPES record is Kenneth Ussery, Vp. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is 3825 Countryside Boulevard Operations LLC's NPI active?
- Yes — 3825 Countryside Boulevard Operations LLC's NPI (1063781839) is active in the NPPES registry as of the last update on 2023-11-27.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.