Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

3825 Countryside Boulevard Operations LLC

Skilled Nursing Facility in Palm Harbor, FL · enumerated 2011 · authorized official Kenneth Ussery, Vp.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1063781839

Verified

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Registry record

Entity type Organization (Type 2)

Legal business name 3825 Countryside Boulevard Operations LLC

Other name <Unavail>

Practice address 3825 Countryside Blvd N, Palm Harbor, FL, 34684

Phone (727) 784-2848

Fax (727) 781-1402

Enumeration date Dec 22, 2011

Last updated in NPPES Nov 27, 2023

Taxonomy & classification

314000000X Skilled Nursing Facility Nursing & Custodial Care Facilities · License SNF11060962 (FL) Primary

Authorized official

Name Kenneth Ussery

Title Vp

Phone (407) 571-1550

Other identifiers

Identifier	Type	State	Issuer
004387200	Medicaid	FL	-

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

How current is this record?

Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2023-11-27. Verify at npiregistry.cms.hhs.gov.

Where is 3825 Countryside Boulevard Operations LLC located?

The practice location on file with NPPES is in Palm Harbor, FL.

Providers at this address

Browse all →

Countryside Health Care Associates LLC Skilled Nursing Facility · Palm Harbor, FL NPI 1396791349 Angela Devore Occupational Therapy Assistant · Palm Harbor, FL NPI 1336338482 Annemarie Kohler Speech-Language Pathologist · Palm Harbor, FL NPI 1134490642 Daniel Adair Physical Therapy Assistant · Palm Harbor, FL NPI 1235400698 Nathan Hernandez Physical Therapy Assistant · Palm Harbor, FL NPI 1013288414 Maitlin Grimes Physical Therapist · Palm Harbor, FL NPI 1053682252 Daniel Colombini Physical Therapy Assistant · Palm Harbor, FL NPI 1336407071 Roy Pabst Physical Therapy Assistant · Palm Harbor, FL NPI 1922366509

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2023-11-27.