Healthcare Provider Details

I. General information

NPI: 1073478418
Provider Name (Legal Business Name): HILLTOWN COMMUNITY DEVELOPMENT CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/18/2025
Last Update Date: 12/18/2025
Certification Date: 12/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

387 MAIN ROAD
CHESTERFIELD MA
01012
US

IV. Provider business mailing address

387 MAIN ROAD PO BOX 17
CHESTERFIELD MA
01012
US

V. Phone/Fax

Practice location:
  • Phone: 413-296-4536
  • Fax: 413-296-4020
Mailing address:
  • Phone: 413-296-4536
  • Fax: 413-296-4020

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: DAVE CHRISTOPOLIS
Title or Position: EXECUTIVE DIRECTOR
Credential:
Phone: 413-296-4536