Massey Avenue Alf Operating LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

MASSEY AVENUE ALF OPERATING LLC

Practice address

414 Massey Ave
Mountain View, AR 72560-6132

Phone

(870) 269-5845

NPI assigned

Mar 12, 2021

Organization subpart

No

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

Authorized official

Name

Yisroel Ganz

Title

Incorporator

Phone

(732) 366-5705

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1615507200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1787529600000",
    "number": "1730764697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1999 CEDARBRIDGE AVE STE 3B",
            "city": "LAKEWOOD",
            "state": "NJ",
            "postal_code": "087017048",
            "telephone_number": "732-366-5705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "414 MASSEY AVE",
            "city": "MOUNTAIN VIEW",
            "state": "AR",
            "postal_code": "725606132",
            "telephone_number": "870-269-5845"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MASSEY AVENUE ALF OPERATING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-12",
        "last_updated": "2026-08-24",
        "certification_date": "2026-08-24",
        "status": "A",
        "authorized_official_last_name": "GANZ",
        "authorized_official_first_name": "YISROEL",
        "authorized_official_title_or_position": "INCORPORATOR",
        "authorized_official_telephone_number": "732-366-5705"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lisa Mariott, RECOVERY ADVOCATE
• Daniel Martin, RECOVERY ASSISTANT
• Megan Lechele Martin, MCD, CCC-SLP
• Rhonda Martin, CMP
• Trent Deoin Martin
• Merlin Mathew, M.D.
• Susan CB Matinchek, LPC
• Matrix Behavioral Counseling PLC
• Lois Matteson, CMP
• Miranda McClatchy

• All providers in Mountain View, AR
• Assisted Living Facility in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 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.