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

Wickshire Countryside Opco LLC

Organization Assisted Living Facility · NPI 1750989687

Wickshire Countryside Opco LLC is an Assisted Living Facility in Clearwater, Florida. Registered with an NPI since 2020.

In the registry since
2020
Specialties on file
2
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

3141 N McMullen Booth Rd
Clearwater, FL 33761-2035
Phone: (727) 723-7110
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Assisted Living Facility (primary) Taxonomy 310400000X
Alzheimer Center (Dementia Center) Taxonomy 311500000X

Record details

NPI number1750989687
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Dan O'Keefe — Ceo · (615) 942-0240
Other names Wickshire Countryside
NPI enumeratedOctober 13, 2020
Last updated in NPPESOctober 13, 2020
Certification dateOctober 13, 2020
Mailing address750 Old Hickory Blvd, Brentwood, TN 37027-4528

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