KRE HUSKY CONCORD LICENSEE LLC
NPI 1710872494
Assisted Living Facility - Assisted Living, Mental Illness in Concord, NH
About Kre Husky Concord Licensee Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KRE HUSKY CONCORD LICENSEE LLC (NPI 1710872494), doing business as Birches At Concord, is a healthcare organization registered as an assisted living, mental illness in Concord, New Hampshire and active in the NPI registry since June 2025. The organization holds a CLIA Waiver certificate valid through July 22, 2027 and lists Thomas Grape, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
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 30D2099254
Kre Husky Concord Licensee LLC · Concord, NHFrequently 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 Concord Licensee LLC's NPI number?
The NPI number for Kre Husky Concord Licensee LLC is 1710872494. It was assigned to this organization in the NPPES registry on June 11, 2025. The provider is doing business as Birches at Concord.
Where is Kre Husky Concord Licensee LLC located?
Kre Husky Concord Licensee LLC is located at 300 Pleasant St, Concord, NH 03301. The listed phone number is (603) 836-0621.
What is Kre Husky Concord Licensee LLC's specialty?
The primary specialty registered for this NPI is Assisted Living Facility, specializing in Assisted Living, Mental Illness, with taxonomy code 3104A0625X.
Does Kre Husky Concord Licensee LLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 30D2099254) is associated with this NPI, valid through July 22, 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 Concord Licensee LLC was last updated on June 11, 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.
# Kre Husky Concord Licensee Llc · NPI 1710872494
Assisted Living, Mental Illness organization in Concord, New Hampshire. Organization record, active in the CMS NPPES registry since June 11, 2025.
## Identity
- **NPI:** 1710872494 (Entity type: Organization)
- **Enumerated:** June 11, 2025
- **Primary specialty:** Assisted Living Facility - Assisted Living, Mental Illness · taxonomy 3104A0625X
- **Also known as:** Birches at Concord (Doing Business As)
- **Organization subpart:** No
- **Authorized official:** Thomas Grape, PRESIDENT
## Practice location
- **Address:** 300 PLEASANT ST, Concord, NH 03301-2551
- **Phone:** (603) 836-0621
## Record status
- **NPPES last updated:** June 11, 2025
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1710872494) · Data from the CMS NPPES public registry.