Active NPI
Kre Husky Forge Hill Licensee LLC
- Assisted Living Facility
- Franklin, MA
National Provider Identifier
1710544739
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assisted Living Facility
- Legal business name
- KRE HUSKY FORGE HILL LICENSEE LLC
- Practice address
- 4 Forge Hill Rd
Franklin, MA 02038-3162 - Phone
- (508) 719-8031
- NPI assigned
- May 24, 2019
- Organization subpart
- No
NPPES NPI Registry
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
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assisted Living Facility | 310400000X | Primary |
Addresses
Primary practice location
4 Forge Hill Rd
Franklin, MA 02038-3162
Mailing address
201 Jones Rd Ste 300
Waltham, MA 02451-1618
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 22D2223631 | Kre Husky Forge Hill Licensee LLC | Certificate of waiver | May 6, 2027 |
National Provider Directory
National Provider DirectoryNPI Registry JSON
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": "1710544739",
"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": "4 FORGE HILL RD",
"city": "FRANKLIN",
"state": "MA",
"postal_code": "020383162",
"telephone_number": "508-719-8031"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KRE HUSKY FORGE HILL 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": []
}
Other providers in Franklin, MA
Sources for this page
- 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.