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EVENING LIGHT SUPPORTIVE LIVING LLC
NPI 1790628352
Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Lewiston, ME

Active since April 09, 2026
151 EAST AVE FL 1, LEWISTON, ME 04240(267) 904-0867 Get Directions Write a Review

NPPES record last updated: April 9, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Evening Light Supportive Living Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

EVENING LIGHT SUPPORTIVE LIVING LLC (NPI 1790628352) is a healthcare organization registered as a residential treatment facility, intellectual and/or developmental disabilities in Lewiston, Maine and active in the NPI registry since April 2026. The organization lists Mathieu Mutanda Matanda, Owner/director, as its authorized official.

NPPES Registry Identity

NPI1790628352
Entity TypeOrganization
Primary Taxonomy320600000X
Legal Business NameEVENING LIGHT SUPPORTIVE LIVING LLC
Location Address151 EAST AVE FL 1Lewiston, ME 04240-5666
Mailing Address151 East Ave Fl 1Lewiston, ME 04240-5666 · (267) 904-0867
Phone(267) 904-0867
Organization SubpartNo
Authorized OfficialMathieu Mutanda MatandaOwner/director · (267) 904-0867
Enumeration DateApril 9, 2026
NPPES CertifiedApril 9, 2026
✔ NPI 1790628352 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyResidential Treatment Facility, Intellectual and/or Developmental DisabilitiesResidential Treatment Facilities
Taxonomy Code320600000X
Definition
A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently.
151 EAST AVE FL 1, Lewiston, ME 04240
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Evening Light Supportive Living LLC's NPI number?

The NPI number for Evening Light Supportive Living LLC is 1790628352. It was assigned to this organization in the NPPES registry on April 9, 2026.

Where is Evening Light Supportive Living LLC located?

Evening Light Supportive Living LLC is located at 151 East Ave Fl 1, Lewiston, ME 04240. The listed phone number is (267) 904-0867.

What is Evening Light Supportive Living LLC's specialty?

The primary specialty registered for this NPI is Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320600000X.

When was this NPI record last updated?

The NPPES record for Evening Light Supportive Living LLC was last updated on April 9, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.