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PARK WAVERLY HEALTHCARE LLC
NPI 1003470634
Clinic/Center - Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) in Tucson, AZ

Active since April 29, 2019
2001 N PARK AVE, TUCSON, AZ 85719(520) 882-6151(520) 620-1547 Get Directions Write a Review

NPPES record last updated: April 29, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Park Waverly Healthcare Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PARK WAVERLY HEALTHCARE LLC (NPI 1003470634), doing business as Park Avenue Health And Rehabilitation Center, is a healthcare organization registered as a rehabilitation, comprehensive outpatient rehabilitation facility (corf) in Tucson, Arizona and active in the NPI registry since April 2019. The organization lists Soon Burnam, Treasurer, as its authorized official.

NPPES Registry Identity

NPI1003470634
Entity TypeOrganization
Primary Taxonomy261QR0401X
Legal Business NamePARK WAVERLY HEALTHCARE LLC
Location Address2001 N PARK AVETucson, AZ 85719-3558
Mailing Address2001 N Park AveTucson, AZ 85719-3558 · (520) 882-6151 · Fax (520) 620-1547
Phone(520) 882-6151
Fax(520) 620-1547
Organization SubpartNo
Authorized OfficialSoon BurnamTreasurer · (949) 540-1249
Enumeration DateApril 29, 2019
✔ NPI 1003470634 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)Ambulatory Health Care Facilities
Taxonomy Code261QR0401X
2001 N PARK AVE, Tucson, AZ 85719
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Other Names 1

Doing Business AsPark Avenue Health And Rehabilitation Center

Other Identifiers 1

OtherOTC9390AZ · Az Department Of Health Services

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of Arizona.Insurance ›

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. CARRIE E SCOTT NP-C
Nurse Practitioner (Family)
2001 N PARK AVE
TUCSON, AZ 85719
Pima County (520) 882-6151
HALEY WENOS
Occupational Therapist
2001 N PARK AVE
TUCSON, AZ 85719
Pima County (520) 882-6151

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Park Waverly Healthcare LLC's NPI number?

The NPI number for Park Waverly Healthcare LLC is 1003470634. It was assigned to this organization in the NPPES registry on April 29, 2019. The provider is doing business as Park Avenue Health and Rehabilitation Center.

Where is Park Waverly Healthcare LLC located?

Park Waverly Healthcare LLC is located at 2001 N Park Ave, Tucson, AZ 85719. The listed phone number is (520) 882-6151.

What is Park Waverly Healthcare LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF), with taxonomy code 261QR0401X.

What insurance does Park Waverly Healthcare LLC accept?

Health plans from Blue Cross Blue Shield of Arizona list Park Waverly Healthcare LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Park Waverly Healthcare LLC was last updated on April 29, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.