Active NPI
Matt Family Residency
- Home Health Agency
- Mastic, NY
National Provider Identifier
1992598411
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- MATT FAMILY RESIDENCY
- Practice address
- 59 Ardmour Dr
Mastic, NY 11950-2017 - Phone
- (516) 643-6233
- Fax
- (631) 657-3699
- NPI assigned
- May 27, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Frantz R Mathieu, NP
- Title
- Executive Director
- Phone
- (516) 643-6233
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | Primary | ||
| Nursing Care Agency | 251J00000X | |||
| PACE Provider Organization | 251T00000X | |||
| In Home Supportive Care Agency | 253Z00000X |
Addresses
Primary practice location
59 Ardmour Dr
Mastic, NY 11950-2017
Mailing address
59 Ardmour Dr
Mastic, NY 11950-2017
Phone (516) 643-6233
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Adult Health Nurse Practitioner
- North Babylon, NY
- NPI 1912633959
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1748304000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1748304000000",
"number": "1992598411",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "59 ARDMOUR DR",
"city": "MASTIC",
"state": "NY",
"postal_code": "119502017",
"telephone_number": "516-643-6233",
"fax_number": "631-657-3699"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "59 ARDMOUR DR",
"city": "MASTIC",
"state": "NY",
"postal_code": "119502017",
"telephone_number": "516-643-6233",
"fax_number": "631-657-3699"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MATT FAMILY RESIDENCY",
"organizational_subpart": "NO",
"enumeration_date": "2025-05-27",
"last_updated": "2025-05-27",
"certification_date": "2025-05-27",
"status": "A",
"authorized_official_last_name": "MATHIEU",
"authorized_official_first_name": "FRANTZ",
"authorized_official_middle_name": "R",
"authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
"authorized_official_telephone_number": "516-643-6233",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "NP"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": true
},
{
"code": "251J00000X",
"taxonomy_group": "",
"desc": "Nursing Care",
"state": null,
"license": null,
"primary": false
},
{
"code": "251T00000X",
"taxonomy_group": "",
"desc": "Program of All-Inclusive Care for the Elderly (PACE) Provider Organization",
"state": null,
"license": null,
"primary": false
},
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mastic, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.