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KRE HUSKY ARBORS LICENSEE LLC
NPI 1023805876
Nursing Facility/Intermediate Care Facility in Shelburne, VT

Active since April 24, 2025CLIA 47D0708776 · Waiver
687 HARBOR RD, SHELBURNE, VT 05482(781) 489-7100 Get Directions Write a Review

NPPES record last updated: April 24, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Kre Husky Arbors Licensee Llc NPPES

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

KRE HUSKY ARBORS LICENSEE LLC (NPI 1023805876) is a healthcare organization registered as a nursing facility/intermediate care facility in Shelburne, Vermont and active in the NPI registry since April 2025. The organization holds a CLIA Waiver certificate valid through August 31, 2026 and lists Thomas H Grape, President, as its authorized official.

NPPES Registry Identity

NPI1023805876
Entity TypeOrganization
Primary Taxonomy313M00000X
Legal Business NameKRE HUSKY ARBORS LICENSEE LLC
Location Address687 HARBOR RDShelburne, VT 05482-7698
Mailing Address201 Jones Rd, #300 WestWaltham, MA 02451
Phone(781) 489-7100
Organization SubpartNo
Authorized OfficialThomas H GrapePresident · (781) 489-7100
Enumeration DateApril 24, 2025
NPPES CertifiedApril 24, 2025
✔ NPI 1023805876 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNursing Facility/Intermediate Care FacilityNursing & Custodial Care Facilities
Taxonomy Code313M00000X
Definition
An institution (or a distinct part of an institution) which- (1) is primarily engaged in providing to residents- (A) skilled nursing care and related services for residents who require medical or nursing care, (B) rehabilitation services for the rehabilitation of injured, disabled, or sick persons, or, on a regular basis, health-related care and services to individuals who because of their mental or physical condition require care and services (above the level of room and board) which can be made available to them only through institutional facilities, and is not primarily for the care and treatment of mental diseases; (2) has in effect a transfer agreement with one or more hospitals.
687 HARBOR RD, Shelburne, VT 05482
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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 47D0708776

Kre Husky Arbors Licensee LLC · Shelburne, VT
Active · expires Aug 31, 2026
CLIA Number47D0708776
Laboratory TypeAssisted Living Facility
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorMiranda Berry
Laboratory Phone(802) 958-8600
Laboratory LocationKre Husky Arbors Licensee LLC687 Harbor Rd, Shelburne, VT 05482
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.

NINA Z OTTER
Occupational Therapist
687 HARBOR RD
SHELBURNE, VT 05482
Chittenden County (802) 318-4445
CAROLINE FORD MSOT
Occupational Therapist
687 HARBOR RD
SHELBURNE, VT 05482
Chittenden County (802) 378-4226

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 Arbors Licensee LLC's NPI number?

The NPI number for Kre Husky Arbors Licensee LLC is 1023805876. It was assigned to this organization in the NPPES registry on April 24, 2025.

Where is Kre Husky Arbors Licensee LLC located?

Kre Husky Arbors Licensee LLC is located at 687 Harbor Rd, Shelburne, VT 05482. The listed phone number is (781) 489-7100.

What is Kre Husky Arbors Licensee LLC's specialty?

The primary specialty registered for this NPI is Nursing Facility/Intermediate Care Facility with taxonomy code 313M00000X.

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

Yes. A Certificate of Waiver (number 47D0708776) is associated with this NPI, valid through August 31, 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 Arbors Licensee LLC was last updated on April 24, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.