Provider Demographics
NPI:1417364332
Name:CHILDREN MATTER LLC
Entity Type:Organization
Organization Name:CHILDREN MATTER LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/SLP
Authorized Official - Prefix:MRS
Authorized Official - First Name:ANGELA
Authorized Official - Middle Name:JUNE
Authorized Official - Last Name:MAGOON
Authorized Official - Suffix:
Authorized Official - Credentials:MS CCC-SLP
Authorized Official - Phone:303-659-8822
Mailing Address - Street 1:975 PLATTE RIVER BLVD
Mailing Address - Street 2:UNIT O
Mailing Address - City:BRIGHTON
Mailing Address - State:CO
Mailing Address - Zip Code:80601-4349
Mailing Address - Country:US
Mailing Address - Phone:303-659-8822
Mailing Address - Fax:303-659-7788
Practice Address - Street 1:3303 W 144TH AVE
Practice Address - Street 2:SUITE 207
Practice Address - City:BROOMFIELD
Practice Address - State:CO
Practice Address - Zip Code:80023-9464
Practice Address - Country:US
Practice Address - Phone:303-284-6569
Practice Address - Fax:303-635-6363
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-07-14
Last Update Date:2016-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
225X00000X
CO235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Multi-Specialty
No235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO88202534Medicaid