Provider Demographics
NPI:1669291241
Name:ACUMEN FOSTER HOMES LLC
Entity type:Organization
Organization Name:ACUMEN FOSTER HOMES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:TIFFANY
Authorized Official - Middle Name:
Authorized Official - Last Name:HELTON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:971-533-9771
Mailing Address - Street 1:772 MADRONA ST E
Mailing Address - Street 2:
Mailing Address - City:MONMOUTH
Mailing Address - State:OR
Mailing Address - Zip Code:97361-9719
Mailing Address - Country:US
Mailing Address - Phone:971-533-9771
Mailing Address - Fax:503-212-9327
Practice Address - Street 1:772 MADRONA ST E
Practice Address - Street 2:
Practice Address - City:MONMOUTH
Practice Address - State:OR
Practice Address - Zip Code:97361-9719
Practice Address - Country:US
Practice Address - Phone:971-533-9771
Practice Address - Fax:503-212-9327
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-10-09
Last Update Date:2024-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes311ZA0620XNursing & Custodial Care FacilitiesCustodial Care FacilityAdult Care Home