Healthcare Provider Details

I. General information

NPI: 1285046235
Provider Name (Legal Business Name): CHILDREN MATTER LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/27/2014
Last Update Date: 07/28/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8889 FOX DR
THORNTON CO
80260-8841
US

IV. Provider business mailing address

975 PLATTE RIVER BLVD UNIT O
BRIGHTON CO
80601-4349
US

V. Phone/Fax

Practice location:
  • Phone: 303-659-8822
  • Fax: 303-659-7788
Mailing address:
  • Phone: 303-659-8822
  • Fax: 303-659-7788

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number235Z00000X
License Number StateCO

VIII. Authorized Official

Name: MRS. ANGELA JUNE MAGOON
Title or Position: OWNER/SLP
Credential: MS CCC-SLP
Phone: 303-659-8822