Evening Light Supportive Living LLC

Primary specialty

Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X

Legal business name

EVENING LIGHT SUPPORTIVE LIVING LLC

Practice address

151 East Ave FL 1
Lewiston, ME 04240-5666

Phone

(267) 904-0867

NPI assigned

Apr 9, 2026

Organization subpart

No

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

Authorized official

Name

Mr. Mathieu Mutanda Matanda

Title

Owner/Director

Phone

(267) 904-0867

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1775692800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1775692800000",
    "number": "1790628352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "151 EAST AVE FL 1",
            "city": "LEWISTON",
            "state": "ME",
            "postal_code": "042405666",
            "telephone_number": "267-904-0867"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "151 EAST AVE FL 1",
            "city": "LEWISTON",
            "state": "ME",
            "postal_code": "042405666",
            "telephone_number": "267-904-0867"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVENING LIGHT SUPPORTIVE LIVING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-04-09",
        "last_updated": "2026-04-09",
        "certification_date": "2026-04-09",
        "status": "A",
        "authorized_official_last_name": "MATANDA",
        "authorized_official_first_name": "MATHIEU",
        "authorized_official_middle_name": "MUTANDA",
        "authorized_official_title_or_position": "OWNER/DIRECTOR",
        "authorized_official_telephone_number": "267-904-0867",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alex Estrella, MD
• Eric Stephen Esty, LCSW
• Amanda Ettinger, RD
• Scott Mason Eustis, RPH
• Margaret McHenry Evans, LCPC
• Eventus Maine LLC
• Eventus Maine LLC
• Thomas Ewing, MD
• Exceller Support Solutions LLC
• Exceller Support Solutions LLC

• Intellectual and/or Developmental Disabilities Residential Treatment Facility in Lewiston, ME
• Providers in Lewiston, ME by specialty
• Intellectual and/or Developmental Disabilities Residential Treatment Facility in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 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.