Healthcare Provider Details

I. General information

NPI: 1952449704
Provider Name (Legal Business Name): ACORN CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/02/2007
Last Update Date: 10/04/2022
Certification Date: 10/04/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

152 W BURTON AVE STE H
SALT LAKE CITY UT
84115-2651
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: 801-746-1080
  • Fax: 801-486-4500
Mailing address:
  • Phone: 801-746-1080
  • Fax: 801-486-4500

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number2006-HHA-75202
License Number StateUT
# 2
Primary TaxonomyN
Taxonomy Code347C00000X
TaxonomyPrivate Vehicle
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

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