KRE-BSL HUSKY CHESTNUT PARK OPERATIONS LLC
NPI 1477186856
Assisted Living Facility in Brighton, MA

NPI Status: Active since February 13, 2020

Contact Information

50 SUTHERLAND RD
BRIGHTON, MA
ZIP 02135
Phone: (617) 566-1700

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  • Organization
  • Assisted Living Facility
  • CLIA Number: 22D2221344
  • CLIA Cert. Type: Assisted Living Facility
  • CLIA Exp. Date: 04-19-2027

About KRE-BSL HUSKY CHESTNUT PARK OPERATIONS LLC

This page provides the complete NPI Profile along with additional information for Kre-bsl Husky Chestnut Park Operations Llc, a provider established in Brighton, Massachusetts operating as a Assisted Living Facility. The healthcare provider is registered in the NPI registry with number 1477186856 assigned on February 2020. The practitioner's primary taxonomy code is 310400000X. The provider is registered as an organization and their NPI record was last updated 6 years ago. The authorized official of this NPI record is Ann O'flaherty (Authorized Official)

NPI
1477186856
Provider Name
KRE-BSL HUSKY CHESTNUT PARK OPERATIONS LLC
Entity Type
Organization
Location Address
50 SUTHERLAND RD BRIGHTON, MA 02135
Location Phone
(617) 566-1700
Mailing Address
201 JONES RD STE 300 WALTHAM, MA 02451
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
02-13-2020
Last Update Date
02-18-2020
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Assisted Living Facility

Taxonomy Code
310400000X
Type
Nursing & Custodial Care Facilities
Taxonomy Description
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.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

ANN O'FLAHERTY

Authorized Official Title
AUTHORIZED OFFICIAL
Authorized Official Phone
(781) 489-7181

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
22D2221344
Facility Type
Assisted Living Facility
Certificate Effective Date
April 20, 2025
Certificate Expiration Date
April 19, 2027
Laboratory Director
ALLEN SMITH
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Kre-bsl Husky Chestnut Park Operations Llc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1477186856
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
241472812810
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 4 + 1 + 4 + 7 + 2 + 8 + 1 + 2 + 8 + 1 + 0 + 24 = 64
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 64 = 66

The NPI number 1477186856 is valid because the calculated check digit 6 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 4 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1477572105 MARGARET ROUMANIS MPT
Individual
Physical Therapist50 SUTHERLAND RD
BRIGHTON, MA 02135
(617) 566-1700
1124202833B-X BRIGHTON LLC
Organization
Assisted Living Facility50 SUTHERLAND RD
BRIGHTON, MA 02135
(617) 566-1700
1154988145KRE HUSKY CHESTNUT PARK LICENSEE LLC
Organization
Assisted Living Facility50 SUTHERLAND RD
BRIGHTON, MA 02135
(617) 396-4031
1417072174B-III BROOKLINE SENIOR HOUSING LLC
Organization
Assisted Living Facility50 SUTHERLAND RD
BRIGHTON, MA 02135
(617) 566-1700

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1477186856, enumerated in the NPI registry as an "organization" on February 13, 2020

The provider is located at 50 Sutherland Rd Brighton, Ma 02135 and the phone number is (617) 566-1700

This medical organization specializes in Assisted Living Facility with taxonomy code 310400000X

The provider's CLIA number is 22D2221344 for a "assisted living facility" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria..

This NPI record was last updated on February 13, 2020. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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