Healthcare Provider Details

I. General information

NPI: 1689224438
Provider Name (Legal Business Name): ACORN CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/13/2019
Last Update Date: 10/04/2022
Certification Date: 10/04/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

425 S 400 W
FERRON UT
84523-4513
US

IV. Provider business mailing address

152 W BURTON AVE STE H
SALT LAKE CITY UT
84115-2651
US

V. Phone/Fax

Practice location:
  • Phone: 435-990-6176
  • Fax: 435-990-6177
Mailing address:
  • Phone: 801-746-1080
  • Fax: 801-486-4500

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: KEVIN WHATCOTT
Title or Position: CEO
Credential:
Phone: 801-746-1080