Provider Demographics
NPI:1952449704
Name:ACORN CARE LLC
Entity Type:Organization
Organization Name:ACORN CARE LLC
Other - Org Name:HOMEWATCH CAREGIVERS OF UTAH
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:KEVIN
Authorized Official - Middle Name:
Authorized Official - Last Name:WHATCOTT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:801-746-1080
Mailing Address - Street 1:152 W BURTON AVE STE H
Mailing Address - Street 2:
Mailing Address - City:SALT LAKE CITY
Mailing Address - State:UT
Mailing Address - Zip Code:84115-2651
Mailing Address - Country:US
Mailing Address - Phone:801-746-1080
Mailing Address - Fax:801-486-4500
Practice Address - Street 1:152 W BURTON AVE STE H
Practice Address - Street 2:
Practice Address - City:SALT LAKE CITY
Practice Address - State:UT
Practice Address - Zip Code:84115-2651
Practice Address - Country:US
Practice Address - Phone:801-746-1080
Practice Address - Fax:801-486-4500
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-02
Last Update Date:2022-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT2006-HHA-75202251E00000X
253Z00000X, 347C00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
No251E00000XAgenciesHome Health
No347C00000XTransportation ServicesPrivate Vehicle
Provider Identifiers
StateIdentifier IDID TypeIssuer
UT=========001Medicaid