Provider Demographics
NPI:1427259753
Name:CHILDREN'S NETWORK, INC.
Entity type:Organization
Organization Name:CHILDREN'S NETWORK, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:JUDITH
Authorized Official - Middle Name:V
Authorized Official - Last Name:ROHDE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:303-422-3553
Mailing Address - Street 1:7651 W 41ST AVE STE 96
Mailing Address - Street 2:
Mailing Address - City:WHEAT RIDGE
Mailing Address - State:CO
Mailing Address - Zip Code:80033-4559
Mailing Address - Country:US
Mailing Address - Phone:303-422-3553
Mailing Address - Fax:303-456-5394
Practice Address - Street 1:7651 W 41ST AVE STE 96
Practice Address - Street 2:
Practice Address - City:WHEAT RIDGE
Practice Address - State:CO
Practice Address - Zip Code:80033-4559
Practice Address - Country:US
Practice Address - Phone:303-422-3553
Practice Address - Fax:303-456-5394
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-31
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO77512251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO03800784Medicaid