Organization Active NPI

Matthew 2540 LLC

  • Lodging Provider
  • Riverside, CA
National Provider Identifier
1285461533
Registry record updated Sep 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Lodging ProviderTaxonomy code 177F00000X
Legal business name
MATTHEW 2540 LLC
Practice address
134 W Manfield St
Riverside, CA 92507-4852
Phone
(951) 216-3326
NPI assigned
Sep 18, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2024

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

Authorized official

Name
Mr. Kevin Lawrence Anderson IINPI 1568299816
Title
Member/Manager
Phone
(951) 235-6507

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Lodging Provider 177F00000X Primary

Addresses

Primary practice location

134 W Manfield St
Riverside, CA 92507-4852

Mailing address

20122 Dayton St
Riverside, CA 92508-6301
Phone (951) 235-6507

Other practice location 1

5975 Grand Ave
Riverside, CA 92504-1369
Phone (951) 216-3326

National Provider Directory

National Provider Directory
Tax ID family
Matthew 2540 LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1726617600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726617600000",
    "number": "1285461533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20122 DAYTON ST",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925086301",
            "telephone_number": "951-235-6507"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "134 W MANFIELD ST",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925074852",
            "telephone_number": "951-216-3326"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5975 Grand Ave",
            "address_purpose": "LOCATION",
            "city": "Riverside",
            "state": "CA",
            "postal_code": "925041369",
            "country_code": "US",
            "telephone_number": "951-216-3326",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MATTHEW 2540 LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-18",
        "last_updated": "2024-09-18",
        "certification_date": "2024-09-18",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "LAWRENCE",
        "authorized_official_title_or_position": "MEMBER/MANAGER",
        "authorized_official_telephone_number": "951-235-6507",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "II"
    },
    "taxonomies": [
        {
            "code": "177F00000X",
            "taxonomy_group": "",
            "desc": "Lodging",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Riverside, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2024; 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.