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

Park Waverly Healthcare LLC

Organization Skilled Nursing Facility · NPI 1629079975

Park Waverly Healthcare LLC is a Skilled Nursing Facility in Tucson, Arizona. Licensed in Arizona. Registered with an NPI since 2005.

Licensed in
AZ
In the registry since
2005
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

2001 N Park Ave
Tucson, AZ 85719-3558
Phone: (520) 882-6151
Fax: (520) 620-1547
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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 · Licence NCI-2639 (AZ)

Record details

NPI number1629079975
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Soon Burnam — Authorized Agent · (949) 540-1249
Other names Park Avenue Health And Rehabilitaion Center; Park Avenue Health And Rehabilitaion Center
NPI enumeratedAugust 9, 2005
Last updated in NPPESFebruary 16, 2021
Certification dateFebruary 16, 2021
Mailing address2001 North Park Avenue, Tucson, AZ 85719-3558

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