PARK AVENUE SNF OPCO LLC
NPI 1578407656
Skilled Nursing Facility in Arlington, MA
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
Specialties & Licenses
Other Names 1
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, MAOther Providers at the Same Location NPPES 18
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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.