Healthcare Provider Details

I. General information

NPI: 1609711647
Provider Name (Legal Business Name): ROOTS FAMILY CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/23/2026
Last Update Date: 04/23/2026
Certification Date: 04/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

700 KNOX CT
DENVER CO
80204-3164
US

IV. Provider business mailing address

4200 MORRISON RD UNIT 7
DENVER CO
80219-2490
US

V. Phone/Fax

Practice location:
  • Phone: 720-216-1133
  • Fax:
Mailing address:
  • Phone: 720-216-1133
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code374J00000X
TaxonomyDoula
License Number
License Number State

VIII. Authorized Official

Name: CLAUDIA LOPEZ MATA
Title or Position: PROGRAM DIRECTOR
Credential:
Phone: 720-499-7743