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462 Main Street Opco, LLC

NPI 1619823853ActiveOrganization· Assisted Living Facility· Agawam, MA

Assisted Living Facility in Agawam, Massachusetts, registered in NPPES in March 2026. The authorized official on file is Avrohom Tress, Executive Vice President.

Overview

NPI1619823853
StatusActive
Entity typeOrganization
NPI issuedMar 9, 2026
Last updated in NPPESOct 20, 2026
Certified by providerOct 20, 2026

Specialties and licenses

TaxonomyCodeLicenseState
Assisted Living Facility Primary310400000X——

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Nov 10, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026No match—
New York OMIG · Nov 11, 2026No match—
Ohio Medicaid · Nov 11, 2026No match—
Pennsylvania Medicheck · Nov 11, 2026No match—
Washington HCA · Nov 11, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Medicare sources and data years

Other Assisted Living Facility providers in Agawam

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