Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

PARK AVENUE SNF OPCO LLC
NPI 1578407656
Skilled Nursing Facility in Arlington, MA

Active since April 17, 2026CLIA 22D0861319 · Waiver
146 PARK AVE, ARLINGTON, MA 02476(781) 648-9530 Get Directions Write a Review

NPPES record last updated: August 13, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 13, 2026, Apr 17, 2026 (2 updates tracked since 2026).

About Park Avenue Snf Opco Llc NPPES

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

PARK AVENUE SNF OPCO LLC (NPI 1578407656), doing business as Park Avenue Health Care Center, is a healthcare organization registered as a skilled nursing facility in Arlington, Massachusetts and active in the NPI registry since April 2026. The organization holds a CLIA Waiver certificate valid through August 31, 2026 and lists Nicholas Destefane, President, as its authorized official.

NPPES Registry Identity

NPI1578407656
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NamePARK AVENUE SNF OPCO LLC
Location Address146 PARK AVEArlington, MA 02476-5829
Mailing Address1869 Craig Park CtSaint Louis, MO 63146-4122 · (314) 543-3805
Organization SubpartNo
Authorized OfficialNicholas DestefanePresident · (314) 543-3800
Enumeration DateApril 17, 2026
Last NPPES UpdateAugust 13, 20262 updates tracked since enumeration
NPPES CertifiedAugust 13, 2026
NPI 1578407656 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySkilled Nursing FacilityNursing & Custodial Care Facilities
Taxonomy Code314000000X
Definition
(1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis.
146 PARK AVE, Arlington, MA 02476

Other Names 1

Doing Business AsPark Avenue Health Care Center

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 22D0861319

Park Avenue Health Center · Arlington, MA
Active · expires Aug 31, 2026
CLIA Number22D0861319
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorCherie Noe
Laboratory Phone(781) 648-9530
Laboratory LocationPark Avenue Health Center146 Park Avenue, Arlington, MA 02476
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 18

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

Skilled Nursing Facility
146 PARK AVE
ARLINGTON, MA 02476
Occupational Therapist
146 PARK AVE
ARLINGTON, MA 02476
Physical Therapy Assistant
146 PARK AVE
ARLINGTON, MA 02476
Skilled Nursing Facility
146 PARK AVE
ARLINGTON, MA 02476
Skilled Nursing Facility
146 PARK AVE
ARLINGTON, MA 02476
Physical Therapist
146 PARK AVE
ARLINGTON, MA 02476
Occupational Therapist
146 PARK AVE
ARLINGTON, MA 02476
Occupational Therapist
146 PARK AVE
ARLINGTON, MA 02476

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 Avenue Snf Opco LLC's NPI number?

The NPI number for Park Avenue Snf Opco LLC is 1578407656. It was assigned to this organization in the NPPES registry on April 17, 2026. The provider is doing business as Park Avenue Health Care Center.

Where is Park Avenue Snf Opco LLC located?

Park Avenue Snf Opco LLC is located at 146 Park Ave, Arlington, MA 02476. The listed phone number is (781) 648-9530.

What is Park Avenue Snf Opco LLC's specialty?

The primary specialty registered for this NPI is Skilled Nursing Facility with taxonomy code 314000000X.

Does Park Avenue Snf Opco LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 22D0861319) is associated with this NPI, valid through August 31, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Park Avenue Snf Opco LLC was last updated on August 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 days 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.