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

Revera (Delaware) LLC

Organization Skilled Nursing Facility · NPI 1225029887

Revera (Delaware) LLC is a Skilled Nursing Facility in Tacoma, Washington. Licensed in Washington. Registered with an NPI since 2005.

Licensed in
WA
In the registry since
2005
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

4755 S 48th St
Tacoma, WA 98409-1919
Phone: (253) 475-4611
Fax: (253) 471-9591
Show map & directions

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

Specialties & licences

Skilled Nursing Facility (primary) Taxonomy 314000000X · Licence 1259 (WA)
Skilled Nursing Facility Taxonomy 314000000X · Licence NH1259 (WA)

Record details

NPI number1225029887
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Carole Scillia — Llc Manager · (203) 608-6100
Other names Orchard Park Health And Rehabilitation Center
NPI enumeratedNovember 2, 2005
Last updated in NPPESMay 20, 2011
Mailing address538 Preston Ave, Suite 270, Meriden, CT 06450-4851

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