Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Countryside Haven Assisted Living

Organization Assisted Living Facility · NPI 1396281887

Countryside Haven Assisted Living is an Assisted Living Facility in Palm Harbor, Florida. Licensed in Florida. Registered with an NPI since 2017.

Licensed in
FL
In the registry since
2017

Practice location Address checks out

6960 County Road 95
Palm Harbor, FL 34684-4403
Phone: (727) 786-8461
Fax: (727) 784-0425
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Assisted Living Facility (primary) Taxonomy 310400000X · Licence AL5305 (FL)

Record details

NPI number1396281887
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationCountryside Haven Assisted Living LLC
Authorized official Kathy Coogan — Owner · (727) 534-6766
NPI enumeratedJanuary 9, 2017
Last updated in NPPESJanuary 9, 2017
Mailing address6960 County Road 95, Palm Harbor, FL 34684-4403

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