KRE HUSKY EVANS PARK LICENSEE LLC (NPI# 1225695224) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225695224 |
| Entity Type | Organization |
| Organization Name | KRE HUSKY EVANS PARK LICENSEE LLC |
| Practice Address |
430 Centre St Newton MA 02458-2036 |
| Mailing Address |
201 Jones Rd Ste 300 Waltham MA 02451-1618 |
| Practice Telephone | 6177185703 |
| Enumeration Date | 2019-05-24 |
| Last Update Date | 2019-05-24 |
| Authorized Official Name | MR. THOMAS H. GRAPE (PRESIDENT) |
| Authorized Official Telephone | 7814897100 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 310400000X | Assisted Living Facility | Nursing & Custodial Care Facilities |
| Street Address |
430 CENTRE ST |
| City | NEWTON |
| State | MA |
| Zip Code | 02458-2036 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205951951 | B-iii Newton Senior Housing LLC | Assisted Living Facility | 430 Centre St, Newton, MA 02458-2036 | 2007-03-20 |
| 1558994939 | Kre-bsl Husky Evans Park Operations LLC | Assisted Living Facility | 430 Centre St, Newton, MA 02458-2036 | 2020-02-13 |
| 1306020185 | Evans B-iii Newton | Assisted Living Facility | 430 Centre St, Newton, MA 02458-2036 | 2007-12-28 |
| 1629251475 | B-x Newton LLC | Assisted Living Facility | 430 Centre St, Newton, MA 02458-2036 | 2007-12-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699372136 | Marie Beh Buckhout | Chiropractor | 517 Washington Street, Newton, MA 02458 | 2020-10-07 |
| 1619583168 | Newton Wellesley Dental Group LLC | Clinic/Center | 447 Centre Street, Same, Newton, MA 02458 | 2020-09-21 |
| 1083179220 | Leslie Gary Brody | Social Worker | 35 Buswell Park, Newton, MA 02458 | 2019-02-01 |
| 1114499043 | Anne Irene Vermeulen | Health Educator | 55 Chapel Street, Suite 300, Newton, MA 02458 | 2018-12-17 |
| 1669957023 | Marla Rutenberg | Social Worker | 4 Cotton Street, Newton, MA 02458 | 2018-10-01 |
| 1104339787 | Stephanie Chancey | Counselor | 425 Watertown Street, The Academy, Newton, MA 02458 | 2017-11-06 |
| 1356886485 | Elizabeth Woodruff | Social Worker | 77 Warren St. Building #9, Brighton, MA 02458 | 2016-12-28 |
| 1346618519 | Jessica Farnsworth Kruss | Counselor | 425 Rear Watertown St., Newton, MA 02458 | 2015-09-04 |
| 1043631591 | Judith Sheolie Fernando | Psychiatry & Neurology | 313 Washington Street Newton, Newton, MA 02458 | 2014-01-01 |
| 1861830887 | Allison L. Phillips | Social Worker | 64 Eldredge St., Newton, MA 02458 | 2013-06-12 |
| Find all providers in zip 02458 | ||||
| Taxonomy Code | 310400000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Assisted Living Facility |
| A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295122075 | Bristol Glen, Inc. | Assisted Living Facility | 200 Bristol Glen Drive, Newton, NJ 07860 | 2015-04-20 |
| 1558690685 | Key Rehabilitation | Assisted Living Facility | 818 E 19th St N, Newton, IA 50208-2529 | 2009-12-21 |
| 1205049087 | Newton Village | Assisted Living Facility | 122 N 5th Ave W, Newton, IA 50208-3190 | 2007-05-08 |
| 1205951951 | B-iii Newton Senior Housing LLC | Assisted Living Facility | 430 Centre St, Newton, MA 02458-2036 | 2007-03-20 |
| 1437179256 | Piedmont Village At Newton, Inc. | Assisted Living Facility | 1345 Chapman Ln, Newton, NC 28658-1778 | 2006-07-21 |
| 1558994939 | Kre-bsl Husky Evans Park Operations LLC | Assisted Living Facility | 430 Centre St, Newton, MA 02458-2036 | 2020-02-13 |
| 1376786723 | Johnson Enterprises of Shelby | Assisted Living Facility | 1345 Chapman Ln, Newton, NC 28658-1778 | 2009-04-15 |
| 1306020185 | Evans B-iii Newton | Assisted Living Facility | 430 Centre St, Newton, MA 02458-2036 | 2007-12-28 |
| 1629251475 | B-x Newton LLC | Assisted Living Facility | 430 Centre St, Newton, MA 02458-2036 | 2007-12-14 |
| 1194905315 | Piedmont Village At Newton | Assisted Living Facility | 1345 Chapman Ln, Newton, NC 28658-1778 | 2007-11-05 |
| Find all providers in NEWTON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.