462 Main Street Opco, LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

462 MAIN STREET OPCO, LLC

Doing business as

Heritage Woods Senior Residence

Practice address

462 Main St
Agawam, MA 01001-1833

Phone

(323) 928-9445

NPI assigned

Mar 9, 2026

Last updated

Oct 20, 2026By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Avrohom Tress

Title

Executive Vice President

Phone

(323) 928-9445

Specialties & licenses 1

Addresses

Other names 1

• Heritage Woods Senior Residence Doing business as

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1773014400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1792454400000",
    "number": "1619823853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9526 W PICO BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900351202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "462 MAIN ST",
            "city": "AGAWAM",
            "state": "MA",
            "postal_code": "010011833",
            "telephone_number": "323-928-9445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "462 MAIN STREET OPCO, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-03-09",
        "last_updated": "2026-10-20",
        "certification_date": "2026-10-20",
        "status": "A",
        "authorized_official_last_name": "TRESS",
        "authorized_official_first_name": "AVROHOM",
        "authorized_official_title_or_position": "EXECUTIVE VICE PRESIDENT",
        "authorized_official_telephone_number": "323-928-9445"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Heritage Woods Senior Residence",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• 1200 Suffield Street Operator LLC (Agawam HealthCare)
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• 55 Cooper Street Operations LLC (Heritage Hall North)
• 61 Cooper Street Operations LLC (Heritage Hall West)
• 65 Cooper Street Operations LLC (Heritage Hall South)
• A Dental Group

• Assisted Living Facility in Agawam, MA
• Providers in Agawam, MA by specialty
• Assisted Living Facility in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.