1. Home
  2. Directory
  3. Massachusetts
  4. Brighton
  5. Assisted Living Facility
  6. NPI Profile

KRE HUSKY CHESTNUT PARK LICENSEE LLC
NPI 1154988145
Assisted Living Facility in Brighton, MA

Active since May 24, 2019CLIA 22D2221344 · Waiver
50 SUTHERLAND RD, BRIGHTON, MA 02135(617) 396-4031 Get Directions Write a Review

NPPES record last updated: May 24, 2019. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Kre Husky Chestnut Park Licensee Llc NPPES

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

KRE HUSKY CHESTNUT PARK LICENSEE LLC (NPI 1154988145) is a healthcare organization registered as an assisted living facility in Brighton, Massachusetts and active in the NPI registry since May 2019. The organization holds a CLIA Waiver certificate valid through April 19, 2027 and lists Thomas H. Grape, President, as its authorized official.

NPPES Registry Identity

NPI1154988145
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameKRE HUSKY CHESTNUT PARK LICENSEE LLC
Location Address50 SUTHERLAND RDBrighton, MA 02135-7132
Mailing Address201 Jones Rd Ste 300Waltham, MA 02451-1618
Phone(617) 396-4031
Organization SubpartNo
Authorized OfficialThomas H. GrapePresident · (781) 489-7100
Enumeration DateMay 24, 2019
✔ NPI 1154988145 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.

50 SUTHERLAND RD, Brighton, MA 02135
Open in Google Maps ↗

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 22D2221344

Kre Husky Chestnut Park Licensee LLC · Brighton, MA
Active · expires Apr 19, 2027
CLIA Number22D2221344
Laboratory TypeAssisted Living Facility
Certificate Effective DateApril 20, 2025
Certificate Expiration DateApril 19, 2027
Laboratory DirectorAllen Smith
Laboratory Phone(617) 566-1700
Laboratory LocationKre Husky Chestnut Park Licensee LLC50 Sutherland Rd, Brighton, MA 02135
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 4

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

MARGARET ROUMANIS MPT
Physical Therapist
50 SUTHERLAND RD
BRIGHTON, MA 02135
Suffolk County (617) 566-1700
B-X BRIGHTON LLC
Assisted Living Facility
50 SUTHERLAND RD
BRIGHTON, MA 02135
Suffolk County (617) 566-1700
KRE-BSL HUSKY CHESTNUT PARK OPERATIONS LLC
Assisted Living Facility
50 SUTHERLAND RD
BRIGHTON, MA 02135
Suffolk County (617) 566-1700
B-III BROOKLINE SENIOR HOUSING LLC
Assisted Living Facility
50 SUTHERLAND RD
BRIGHTON, MA 02135
Suffolk County (617) 566-1700

Frequently Asked Questions

What is KRE HUSKY CHESTNUT PARK LICENSEE LLC's NPI number?

The NPI number assigned to this healthcare provider is 1154988145, enumerated as an "organization" on May 24, 2019.

Where is the provider located?

The provider is located at 50 SUTHERLAND RD BRIGHTON, MA 02135 and the phone number is (617) 396-4031.

What is the provider's specialty?

Assisted Living Facility with taxonomy code 310400000X.