Provider Demographics
NPI:1285088062
Name:R K MATTHEWS INVESTMENTS INC.
Entity type:Organization
Organization Name:R K MATTHEWS INVESTMENTS INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MIRIAM
Authorized Official - Middle Name:DENISE
Authorized Official - Last Name:MATTHEWSCNA
Authorized Official - Suffix:
Authorized Official - Credentials:CNA
Authorized Official - Phone:816-920-6300
Mailing Address - Street 1:6222RAYTOWN TRFWY
Mailing Address - Street 2:SUITE 157
Mailing Address - City:RAYTOWN
Mailing Address - State:MO
Mailing Address - Zip Code:64133
Mailing Address - Country:US
Mailing Address - Phone:913-951-8283
Mailing Address - Fax:816-920-6300
Practice Address - Street 1:6222 RAYTOWN TRFY
Practice Address - Street 2:SUITE 157
Practice Address - City:RAYTOWN
Practice Address - State:MO
Practice Address - Zip Code:64133-3847
Practice Address - Country:US
Practice Address - Phone:913-951-8283
Practice Address - Fax:816-920-6300
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:R K MATTHEWS INVESTMENTS INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2016-04-19
Last Update Date:2016-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO0210320512251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health