OrganizationActive
Evening Light Supportive Living LLC
NPI 1790628352 · Intellectual and/or Developmental Disabilities Residential Treatment Facility · Lewiston, ME
Provider details
- NPI number
- 1790628352
- Entity type
- Organization
- Primary specialty
- Intellectual and/or Developmental Disabilities Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Mathieu Matanda, Owner/Director(267) 904-0867
Specialties & taxonomies
Residential Treatment Facilities
Profile Score
Established profile(53/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
151 East Ave Fl 1
Lewiston, ME 04240-5666
Phone: (267) 904-0867
Street-level locationGet directions
Mailing address
151 East Ave Fl 1
Lewiston, ME 04240-5666
Registry dates
- Enumerated
- 2026-04-09
- Last updated
- 2026-04-09
- Certified
- 2026-04-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.