OrganizationActive
462 Main Street Opco, LLC
NPI 1619823853 · Assisted Living Facility · Agawam, MA
Provider details
- NPI number
- 1619823853
- Entity type
- Organization
- Primary specialty
- Assisted Living FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Avrohom Tress, Executive Vice President(323) 928-9445
Specialties & taxonomies
Nursing & Custodial Care Facilities
Practice location
462 Main St
Agawam, MA 01001-1833
Phone: (323) 928-9445
Approximate (ZIP-level) locationGet directions
Mailing address
9526 W Pico Blvd
Los Angeles, CA 90035-1202
Registry dates
- Enumerated
- 2026-03-09
- Last updated
- 2026-03-09
- Certified
- 2026-03-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.