Active NPIOrganization

Kre Husky Yarmouth Licensee LLC

Assisted Living Facility, Assisted Living, Mental Illness in Yarmouth, Maine

NPI Number1396630075
Practice location
27 Forest Falls Dr, Yarmouth, ME 04096-6972
Fax
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Last updated
June 11, 2025

Kre Husky Yarmouth Licensee LLC is a healthcare organization based in Yarmouth, ME. Kre Husky Yarmouth Licensee LLC practices in Yarmouth, ME. The NPI Number for Kre Husky Yarmouth Licensee LLC is 1396630075. The current practice location address for Kre Husky Yarmouth Licensee LLC is 27 Forest Falls Dr, Yarmouth, ME 04096-6972 and can be reached out via phone at 206-447-9075.

Provider Profile Details

NPI Number
1396630075
Provider Name
Kre Husky Yarmouth Licensee LLC
Provider Entity Type
Organization
Address
27 Forest Falls Dr, Yarmouth, ME 04096-6972
Phone Number
206-447-9075
Organization Subpart
No
Authorized Official
Mr. Thomas Grape · President · 781-489-7100
Other Names
Bay Square At Yarmouth (Doing Business As)
Provider Enumeration Date
June 11, 2025
Last Update Date
June 11, 2025
Certification Date
June 11, 2025
NPI Status
Active

Provider Business Practice Location Address Details

Address
27 Forest Falls Dr
Yarmouth, ME 04096-6972
State
Maine
Zip
04096-6972
Phone Number
206-447-9075
Yarmouth, ME 04096Get directions →

Provider Business Mailing Address Details

Address
201 Jones RD Ste 300
Waltham, MA 02451-1618
City
Waltham
State
MA
Zip
02451-1618
Phone Number
781-489-7100

License Information

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Kre Husky Yarmouth Licensee LLC?

The NPI number of Kre Husky Yarmouth Licensee LLC is 1396630075. It was assigned on June 11, 2025 and is currently active in the NPPES registry.

What is the specialty of Kre Husky Yarmouth Licensee LLC?

Kre Husky Yarmouth Licensee LLC is registered under the primary taxonomy Assisted Living Facility, Assisted Living, Mental Illness (code 3104A0625X).

Where does Kre Husky Yarmouth Licensee LLC practice?

The practice location is 27 Forest Falls Dr, Yarmouth, ME 04096-6972. The office can be reached at 206-447-9075 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1396630075 directly on the NPPES registry website.

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