KRE HUSKY BEDFORD LICENSEE LLC
NPI 1629967856
Assisted Living Facility in Bedford, NH

Active since July 01, 2025CLIA 30D2202167 · Waiver
5 CORPORATE DR, BEDFORD, NH 03110(603) 945-1637 Get Directions Write a Review

NPPES record last updated: July 1, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Kre Husky Bedford Licensee Llc NPPES

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

KRE HUSKY BEDFORD LICENSEE LLC (NPI 1629967856), doing business as Benchmark At Bedford Falls, is a healthcare organization registered as an assisted living facility in Bedford, New Hampshire and active in the NPI registry since July 2025. The organization holds a CLIA Waiver certificate valid through November 24, 2026 and lists Thomas H. Grape, President, as its authorized official.

NPPES Registry Identity

NPI1629967856
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameKRE HUSKY BEDFORD LICENSEE LLC
Location Address5 CORPORATE DRBedford, NH 03110-5954
Mailing Address5 Corporate DrBedford, NH 03110-5954
Organization SubpartNo
Authorized OfficialThomas H. GrapePresident · (781) 489-7100
Enumeration DateJuly 1, 2025
NPPES CertifiedJuly 1, 2025
NPI 1629967856 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.
5 CORPORATE DR, Bedford, NH 03110

Other Names 1

Doing Business AsBenchmark At Bedford Falls

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 30D2202167

Kre Husky Bedford Licensee LLC · Bedford, NH
Active · expires Nov 24, 2026
CLIA Number30D2202167
Laboratory TypeAssisted Living Facility
Certificate Effective DateNovember 25, 2024
Certificate Expiration DateNovember 24, 2026
Laboratory DirectorMatthew Soroko
Laboratory Phone(603) 471-2555
Laboratory LocationKre Husky Bedford Licensee LLC5 Corporate Dr, Bedford, NH 03110
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

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 Bedford Licensee LLC's NPI number?

The NPI number for Kre Husky Bedford Licensee LLC is 1629967856. It was assigned to this organization in the NPPES registry on July 1, 2025. The provider is doing business as Benchmark at Bedford Falls.

Where is Kre Husky Bedford Licensee LLC located?

Kre Husky Bedford Licensee LLC is located at 5 Corporate Dr, Bedford, NH 03110. The listed phone number is (603) 945-1637.

What is Kre Husky Bedford Licensee LLC's specialty?

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

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

Yes. A Certificate of Waiver (number 30D2202167) is associated with this NPI, valid through November 24, 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 Bedford Licensee LLC was last updated on July 1, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months 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.