Park Waverly Healthcare LLC
NPI 1003470634 · Comprehensive Outpatient Rehabilitation Facility (CORF) · Tucson, AZ
Park Waverly Healthcare LLC is a Comprehensive Outpatient Rehabilitation Facility (CORF) organization in Tucson, AZ (NPI 1003470634).
Provider details
- NPI number
- 1003470634
- Entity type
- Organization
- Primary specialty
- Comprehensive Outpatient Rehabilitation Facility (CORF)Ambulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Soon Burnam, Treasurer(949) 540-1249
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
7 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Park Avenue Health and Rehabilitation Center
Registry dates
- Enumerated
- 2019-04-29
- Last updated
- 2019-04-29
Frequently asked questions
- What is Park Waverly Healthcare LLC's NPI number?
- Park Waverly Healthcare LLC's National Provider Identifier (NPI) is 1003470634, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Park Waverly Healthcare LLC?
- Park Waverly Healthcare LLC is classified in the NPPES registry as Comprehensive Outpatient Rehabilitation Facility (CORF) (Ambulatory Health Care Facilities).
- Where is Park Waverly Healthcare LLC located?
- Park Waverly Healthcare LLC's practice location on file with NPPES is 2001 N Park Ave, Tucson, AZ 85719-3558.
- What is Park Waverly Healthcare LLC's phone number?
- The practice phone number listed in the NPPES registry for Park Waverly Healthcare LLC is (520) 882-6151.
- Who is the authorized official for Park Waverly Healthcare LLC?
- The authorized official listed on Park Waverly Healthcare LLC's NPPES record is Soon Burnam, Treasurer. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Park Waverly Healthcare LLC's NPI active?
- Yes — Park Waverly Healthcare LLC's NPI (1003470634) is active in the NPPES registry as of the last update on 2019-04-29.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.