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KRE HUSKY WALTHAM LICENSEE LLC
NPI 1013575752
Assisted Living Facility in Waltham, MA

Active since May 29, 2019CLIA 22D2087943 · Waiver
126 SMITH ST, WALTHAM, MA 02451(781) 609-7996 Get Directions Write a Review

NPPES record last updated: May 29, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kre Husky Waltham Licensee Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KRE HUSKY WALTHAM LICENSEE LLC (NPI 1013575752) is a healthcare organization registered as an assisted living facility in Waltham, Massachusetts and active in the NPI registry since May 2019. The organization holds a CLIA Waiver certificate valid through December 8, 2026 and lists Thomas H. Grape, President, as its authorized official.

NPPES Registry Identity

NPI1013575752
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameKRE HUSKY WALTHAM LICENSEE LLC
Location Address126 SMITH STWaltham, MA 02451-1300
Mailing Address201 Jones Rd Fl 3Waltham, MA 02451-1600
Phone(781) 609-7996
Organization SubpartNo
Authorized OfficialThomas H. GrapePresident · (781) 489-7100
Enumeration DateMay 29, 2019
✔ NPI 1013575752 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities
Taxonomy Code310400000X
Definition
A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.
126 SMITH ST, Waltham, MA 02451
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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 22D2087943

Kre Husky Waltham Licensee LLC · Waltham, MA
Active · expires Dec 8, 2026
CLIA Number22D2087943
Laboratory TypeAssisted Living Facility
Certificate Effective DateDecember 9, 2024
Certificate Expiration DateDecember 8, 2026
Laboratory DirectorAllen Smith
Laboratory Phone(781) 466-9912
Laboratory LocationKre Husky Waltham Licensee LLC126 Smith Street, Waltham, MA 02451
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

B-XII WALTHAM LLC
Assisted Living Facility
126 SMITH ST
WALTHAM, MA 02451
Middlesex County (781) 466-9912
KRE-BSL HUSKY WALTHAM OPERATIONS LLC
Assisted Living Facility
126 SMITH ST
WALTHAM, MA 02451
Middlesex County (781) 466-9912

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 Kre Husky Waltham Licensee LLC's NPI number?

The NPI number for Kre Husky Waltham Licensee LLC is 1013575752. It was assigned to this organization in the NPPES registry on May 29, 2019.

Where is Kre Husky Waltham Licensee LLC located?

Kre Husky Waltham Licensee LLC is located at 126 Smith St, Waltham, MA 02451. The listed phone number is (781) 609-7996.

What is Kre Husky Waltham Licensee LLC's specialty?

The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.

Does Kre Husky Waltham Licensee LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 22D2087943) is associated with this NPI, valid through December 8, 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 Kre Husky Waltham Licensee LLC was last updated on May 29, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years 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.