MEDICARE: ACORNFIELD LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251E00000X	Home Health Agency

General Provider Information

NPI Number	:	1316620073
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ACORNFIELD LLC

Provider Business Mailing Address
First Line	:	8330 LBJ FWY STE 335
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75243-1226
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	8330 LBJ FWY STE 335
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75243-1226
Country	:	US
Telephone Number	:	469-269-8957
Fax Number	:

Authorized Official
Title or Position	:	DIRECTOR
Name	:	NKECHINYERE KEJEH
Credential	:
Telephone Number	:	469-269-8957

Provider Enumeration Date	:	08/09/2023
Last Update Date	:	08/09/2023

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Directions to “ACORNFIELD LLC ” Practice Location

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