Active NPIOrganization

Park Avenue SNF Opco LLC

Skilled Nursing Facility in Arlington, Massachusetts

NPI Number1578407656
Practice location
146 Park Ave, Arlington, MA 02476-5829
Fax
—
Last updated
August 13, 2026

Park Avenue SNF Opco LLC is a healthcare organization based in Arlington, MA. Park Avenue SNF Opco LLC practices in Arlington, MA. The NPI Number for Park Avenue SNF Opco LLC is 1578407656. The current practice location address for Park Avenue SNF Opco LLC is 146 Park Ave, Arlington, MA 02476-5829 and can be reached out via phone at 781-648-9530.

Provider Profile Details

NPI Number
1578407656
Provider Name
Park Avenue SNF Opco LLC
Provider Entity Type
Organization
Address
146 Park Ave, Arlington, MA 02476-5829
Phone Number
781-648-9530
Primary Taxonomy
Skilled Nursing Facility · 314000000X
Organization Subpart
No
Authorized Official
Nicholas Destefane · President · 314-543-3800
Other Names
Park Avenue Health Care Center (Doing Business As)
Provider Enumeration Date
April 17, 2026
Last Update Date
August 13, 2026
Certification Date
August 13, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
146 Park Ave
Arlington, MA 02476-5829
Zip
02476-5829
Phone Number
781-648-9530
Arlington, MA 02476Get directions →

Provider Business Mailing Address Details

Address
1869 Craig Park CT
Saint Louis, MO 63146-4122
City
Saint Louis
State
MO
Zip
63146-4122
Phone Number
314-543-3805

License Information

Taxonomy
Skilled Nursing Facility · 314000000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Park Avenue SNF Opco LLC?

The NPI number of Park Avenue SNF Opco LLC is 1578407656. It was assigned on April 17, 2026 and is currently active in the NPPES registry.

What is the specialty of Park Avenue SNF Opco LLC?

Park Avenue SNF Opco LLC is registered under the primary taxonomy Skilled Nursing Facility (code 314000000X).

Where does Park Avenue SNF Opco LLC practice?

The practice location is 146 Park Ave, Arlington, MA 02476-5829. The office can be reached at 781-648-9530 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1578407656 directly on the NPPES registry website.

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