Massey Avenue Alf Operating LLC
Assisted Living Facility in Mountain View, AR. Organization (NPI-2).
NPI number1730764697
StatusActive
Last updated in NPPESAug 24, 2026
Details
- NPI
- 1730764697
- Entity type
- Organization (NPI-2)
- Legal business name
- Massey Avenue Alf Operating LLC
- Organization subpart
- No
- Enumeration date
- Mar 12, 2021
- Certification date
- Aug 24, 2026
- Last updated
- Aug 24, 2026
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 310400000X | Assisted Living Facility | – | – | Yes |
Practice location
414 Massey AveMountain View, AR 72560-6132
Phone 870-269-5845
Mailing address
1999 Cedarbridge Ave Ste 3bLakewood, NJ 08701-7048
Phone 732-366-5705
Authorized official
Yisroel Ganz
Incorporator
7323665705
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