Kre Husky Providence Licensee LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

KRE HUSKY PROVIDENCE LICENSEE LLC

Practice address

700 Smith St
Providence, RI 02908-3500

Phone

(401) 648-0124

NPI assigned

Jun 14, 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

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

{
    "created_epoch": "1560470400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1560470400000",
    "number": "1912567744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 JONES RD FL 3",
            "city": "WALTHAM",
            "state": "MA",
            "postal_code": "024511600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 SMITH ST",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029083500",
            "telephone_number": "401-648-0124"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KRE HUSKY PROVIDENCE LICENSEE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-14",
        "last_updated": "2019-06-14",
        "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": []
}

• Anya Bernert Krause, CNM
• Benjamin Krauss, MD
• Douglas B Kraut, DMD
• Nigel Leonard Kravatz, MD
• Dylan Krawczyk, PHARMD, RPH
• Allison Elizabeth Krebs, LICSW
• Alicja Kreczko, MD
• Barbara M. Krementz, MSW LICSW ATR
• Robin Amy Kremsdorf, MD
• Philip Matthias Kretschmer

• Assisted Living Facility in Providence, RI
• Providers in Providence, RI by specialty
• Assisted Living Facility in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 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.