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

Park Avenue SNF Opco LLC

Organization Skilled Nursing Facility · NPI 1578407656

Park Avenue SNF Opco LLC is a Skilled Nursing Facility in Arlington, Massachusetts. Registered with an NPI since 2026.

In the registry since
2026
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

146 Park Ave
Arlington, MA 02476-5829
Phone: (781) 648-9530
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Skilled Nursing Facility (primary) Taxonomy 314000000X

Record details

NPI number1578407656
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Nicholas Destefane — President · (314) 543-3800
NPI enumeratedApril 17, 2026
Last updated in NPPESApril 17, 2026
Certification dateApril 17, 2026
Mailing address1869 Craig Park Ct, Saint Louis, MO 63146-4122

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