3C
3825 COUNTRYSIDE BOULEVARD OPERATIONS LLC
Skilled Nursing Facility
OIG CLEARNPI VERIFIED
Location
PALM HARBOR, FL
Licensed since
2011
Rate
—
Federal identifiers
NPI registry number1063781839
Agency details
Medicare activity
StatusNo Medicare utilization on file — neutral.
Authorized official
NameKENNETH USSERY
TitleVP
Phone7277842848
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Source: NPI Registry · Last refreshed June 24, 2026