Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

Park Waverly Healthcare LLC

Q: What is the NPI number for Park Waverly Healthcare LLC?

The NPI for Park Waverly Healthcare LLC is 1629079975, a Type 2 (organization) record in the CMS NPPES registry.

Skilled Nursing Facility in Tucson, AZ · enumerated 2005 · authorized official Soon Burnam, Authorized Agent.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1629079975

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Registry record

Entity type Organization (Type 2)

Legal business name Park Waverly Healthcare LLC

Other name <Unavail>

Practice address 2001 North Park Avenue, Tucson, AZ, 85719

Phone (520) 882-6151

Fax (520) 620-1547

Enumeration date Aug 9, 2005

Last updated in NPPES Feb 16, 2021

Taxonomy & classification

314000000X Skilled Nursing Facility Nursing & Custodial Care Facilities · License NCI-2639 (AZ) Primary

Authorized official

Name Soon Burnam

Title Authorized Agent

Phone (949) 540-1249

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

Who is the authorized official for Park Waverly Healthcare LLC?

NPPES lists Soon Burnam (Authorized Agent) as the authorized official for this organization.

What is the NPI number for Park Waverly Healthcare LLC?

The NPI for Park Waverly Healthcare LLC is 1629079975, a Type 2 (organization) record in the CMS NPPES registry.

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2021-02-16.