NPIMap

Organization Active NPI

Kre-BSL Husky Waltham Operations LLC

  • Assisted Living Facility
  • Waltham, MA
National Provider Identifier
1376176750
Registry record updated Feb 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
KRE-BSL HUSKY WALTHAM OPERATIONS LLC
Practice address
126 Smith St
Waltham, MA 02451-1300
Phone
(781) 466-9912
NPI assigned
Feb 13, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2020

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

Authorized official

Name
Ann O'Flaherty
Title
Authorized Official
Phone
(781) 489-7181

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

126 Smith St
Waltham, MA 02451-1300

Mailing address

201 Jones Rd Ste 300
Waltham, MA 02451-1618

National Provider Directory

National Provider Directory
Tax ID family
Kre-BSL Husky Billerica Operations LLC10 organizations share this tax ID, including this one

Other organizations with this tax ID 9

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1581552000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1581552000000",
    "number": "1376176750",
    "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": "126 SMITH ST",
            "city": "WALTHAM",
            "state": "MA",
            "postal_code": "024511300",
            "telephone_number": "781-466-9912"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KRE-BSL HUSKY WALTHAM OPERATIONS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-13",
        "last_updated": "2020-02-13",
        "certification_date": "2020-02-13",
        "status": "A",
        "authorized_official_last_name": "O'FLAHERTY",
        "authorized_official_first_name": "ANN",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "781-489-7181"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waltham, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.