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KRE HUSKY BILLERICA LICENSEE LLC
NPI 1639736622
Assisted Living Facility in Billerica, MA

Active since May 24, 2019CLIA 22D2221345 · Waiver
20 CHARNSTAFF LN, BILLERICA, MA 01821(978) 228-3595 Get Directions Write a Review

NPPES record last updated: May 24, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Kre Husky Billerica Licensee Llc NPPES

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

KRE HUSKY BILLERICA LICENSEE LLC (NPI 1639736622) is a healthcare organization registered as an assisted living facility in Billerica, 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

NPI1639736622
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameKRE HUSKY BILLERICA LICENSEE LLC
Location Address20 CHARNSTAFF LNBillerica, MA 01821-6702
Mailing Address201 Jones Rd Ste 300Waltham, MA 02451-1618
Phone(978) 228-3595
Organization SubpartNo
Authorized OfficialThomas H. GrapePresident · (781) 489-7100
Enumeration DateMay 24, 2019
✔ NPI 1639736622 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.
20 CHARNSTAFF LN, Billerica, MA 01821
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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 22D2221345

Kre Husky Billerica Licensee LLC · Billerica, MA
Active · expires Apr 19, 2027
CLIA Number22D2221345
Laboratory TypeAssisted Living Facility
Certificate Effective DateApril 20, 2025
Certificate Expiration DateApril 19, 2027
Laboratory DirectorAllen Smith
Laboratory Phone(978) 667-0898
Laboratory LocationKre Husky Billerica Licensee LLC20 Charnstaffe Ln, Billerica, MA 01821
CLIA data matches this NPI record on: 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 BILLERICA LLC
Assisted Living Facility
20 CHARNSTAFF LN
BILLERICA, MA 01821
Middlesex County (978) 667-0898
KRE-BSL HUSKY BILLERICA OPERATIONS LLC
Assisted Living Facility
20 CHARNSTAFF LN
BILLERICA, MA 01821
Middlesex County (978) 667-0898

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 Billerica Licensee LLC's NPI number?

The NPI number for Kre Husky Billerica Licensee LLC is 1639736622. It was assigned to this organization in the NPPES registry on May 24, 2019.

Where is Kre Husky Billerica Licensee LLC located?

Kre Husky Billerica Licensee LLC is located at 20 Charnstaff Ln, Billerica, MA 01821. The listed phone number is (978) 228-3595.

What is Kre Husky Billerica Licensee LLC's specialty?

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

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

Yes. A Certificate of Waiver (number 22D2221345) is associated with this NPI, valid through April 19, 2027. 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 Billerica Licensee LLC was last updated on May 24, 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.