462 Main Street Opco, LLC
Assisted Living Facility in Agawam, Massachusetts
1619823853- Practice location
- 462 Main St, Agawam, MA 01001-1833
- Phone
- 323-928-9445
- Fax
- —
- Last updated
- October 20, 2026
462 Main Street Opco, LLC is a healthcare organization based in Agawam, MA. 462 Main Street Opco, LLC practices in Agawam, MA. The NPI Number for 462 Main Street Opco, LLC is 1619823853. The current practice location address for 462 Main Street Opco, LLC is 462 Main St, Agawam, MA 01001-1833 and can be reached out via phone at 323-928-9445.
Provider Profile Details
- NPI Number
- 1619823853
- Provider Name
- 462 Main Street Opco, LLC
- Provider Entity Type
- Organization
- Address
- 462 Main St, Agawam, MA 01001-1833
- Phone Number
- 323-928-9445
- Primary Taxonomy
- Assisted Living Facility · 310400000X
- Organization Subpart
- No
- Authorized Official
- Avrohom Tress · Executive Vice President · 323-928-9445
- Other Names
- Heritage Woods Senior Residence (Doing Business As)
- Provider Enumeration Date
- March 9, 2026
- Last Update Date
- October 20, 2026
- Certification Date
- October 20, 2026
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 462 Main St
Agawam, MA 01001-1833 - City
- Agawam
- State
- Massachusetts
- Zip
- 01001-1833
- Phone Number
- 323-928-9445
Provider Business Mailing Address Details
- Address
- 9526 W Pico Blvd
Los Angeles, CA 90035-1202 - City
- Los Angeles
- State
- CA
- Zip
- 90035-1202
License Information
- Taxonomy
- Assisted Living Facility · 310400000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Assisted Living Facility providers near Agawam, MA
View all Assisted Living Facility providers in Agawam →Frequently Asked Questions
What is the NPI number of 462 Main Street Opco, LLC?
The NPI number of 462 Main Street Opco, LLC is 1619823853. It was assigned on March 9, 2026 and is currently active in the NPPES registry.
What is the specialty of 462 Main Street Opco, LLC?
462 Main Street Opco, LLC is registered under the primary taxonomy Assisted Living Facility (code 310400000X).
Where does 462 Main Street Opco, LLC practice?
The practice location is 462 Main St, Agawam, MA 01001-1833. The office can be reached at 323-928-9445 (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 1619823853 directly on the NPPES registry website.