Kre Husky Chestnut Park Licensee LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

KRE HUSKY CHESTNUT PARK LICENSEE LLC

Practice address

50 Sutherland Rd
Brighton, MA 02135-7132

Phone

(617) 396-4031

NPI assigned

May 24, 2019

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Thomas H. Grape

Title

President

Phone

(781) 489-7100

Specialties & licenses 1

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1558656000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1558656000000",
    "number": "1154988145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 JONES RD STE 300",
            "city": "WALTHAM",
            "state": "MA",
            "postal_code": "024511618"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 SUTHERLAND RD",
            "city": "BRIGHTON",
            "state": "MA",
            "postal_code": "021357132",
            "telephone_number": "617-396-4031"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KRE HUSKY CHESTNUT PARK LICENSEE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-24",
        "last_updated": "2019-05-24",
        "status": "A",
        "authorized_official_last_name": "GRAPE",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "H.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "781-489-7100",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Randi Kowalczyk
• Sarah Elizabeth Kraft, PMHNP-BC
• Eryn Kramer, MPT
• Marc Stevan Kramer, M.D.
• Elizabeth Kranich
• Kre-BSL Husky Chestnut Park Operations LLC
• Erica Krinsky
• Sandeep Krishnan, M.D.
• Kristen Banek PC
• Katherine Theresa Krizman, LMHC

• Assisted Living Facility in Brighton, MA
• Providers in Brighton, MA by specialty
• Assisted Living Facility in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.