PARK WAVERLY HEALTHCARE LLC
NPI 1003470634
Clinic/Center - Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) in Tucson, AZ

NPI Status: Active since April 29, 2019

Contact Information

2001 N PARK AVE
TUCSON, AZ
ZIP 85719
Phone: (520) 882-6151
Fax: (520) 620-1547

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  • Organization
  • Clinic/Center
  • Rehabilitation, Comprehensive Outpatient...
  • Accepts Insurance

About PARK WAVERLY HEALTHCARE LLC

This page provides the complete NPI Profile along with additional information for Park Waverly Healthcare Llc, a provider established in Tucson, Arizona operating as a Clinic/center, focusing in rehabilitation, comprehensive outpatient rehabilitation facility (corf) . The healthcare provider is registered in the NPI registry with number 1003470634 assigned on April 2019. The practitioner's primary taxonomy code is 261QR0401X. The provider is registered as an organization and their NPI record was last updated 6 years ago. The authorized official of this NPI record is Soon Burnam (Treasurer)

NPI
1003470634
Provider Name
PARK WAVERLY HEALTHCARE LLC
Entity Type
Organization
Location Address
2001 N PARK AVE TUCSON, AZ 85719
Location Phone
(520) 882-6151
Location Fax
(520) 620-1547
Mailing Address
2001 N PARK AVE TUCSON, AZ 85719
Mailing Phone
(520) 882-6151
Mailing Fax
(520) 620-1547
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
04-29-2019
Last Update Date
04-29-2019
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)

Taxonomy Code
261QR0401X
Type
Ambulatory Health Care Facilities

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Blue AdvanceHealth Bronze - Neighborhood Network - HMO
  • Blue AdvanceHealth Gold - Neighborhood Network - HMO
  • Blue AdvanceHealth Silver - Neighborhood Network - HMO
  • Blue EverydayHealth Gold - Neighborhood Network - HMO
  • Blue EverydayHealth Silver - Neighborhood Network - HMO
  • Blue Portfolio HSA Bronze - Neighborhood Network - HMO
  • Blue Portfolio HSA Gold - Statewide PPO Network - PPO
  • Blue PPO PremierHealth Silver - Statewide PPO Network - PPO
  • Blue PPO PremierHealth Gold - Statewide PPO Network - PPO
  • Blue PPO StandardHealth Gold - Statewide PPO Network - PPO
  • Blue PPO StandardHealth Silver - Statewide PPO Network - PPO
  • Blue StandardHealth Bronze - Neighborhood Network - HMO
  • Blue StandardHealth Gold - Neighborhood Network - HMO
  • Blue StandardHealth Silver - Neighborhood Network - HMO

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

SOON BURNAM

Authorized Official Title
TREASURER
Authorized Official Phone
(949) 540-1249

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
OTC9390OTHER (01)AZAZ DEPARTMENT OF HEALTH SERVICES

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1003470634
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
200387066
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 0 + 0 + 3 + 8 + 7 + 0 + 6 + 6 + 24 = 56
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 56 = 44

The NPI number 1003470634 is valid because the calculated check digit 4 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following provider is registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1528411170MRS. CARRIE E SCOTT NP-C
Individual
Nurse Practitioner (Family)2001 N PARK AVE
TUCSON, AZ 85719
(520) 882-6151

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1003470634, enumerated in the NPI registry as an "organization" on April 29, 2019

The provider is located at 2001 N Park Ave Tucson, Az 85719 and the phone number is (520) 882-6151

This medical organization specializes in Clinic/Center with taxonomy code 261QR0401X with a focus in Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)

The provider might be accepting Accepts: Blue Cross Blue Shield of Arizona, Medicare and. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

This NPI record was last updated on April 29, 2019. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.