Provider Demographics
NPI:1346056181
Name:ACORN HEALTHCARE INC
Entity type:Organization
Organization Name:ACORN HEALTHCARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:ENOH
Authorized Official - Middle Name:STEPHEN
Authorized Official - Last Name:UDOFFIA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:213-645-9866
Mailing Address - Street 1:27370 HAMMETT CT
Mailing Address - Street 2:
Mailing Address - City:MORENO VALLEY
Mailing Address - State:CA
Mailing Address - Zip Code:92555-4998
Mailing Address - Country:US
Mailing Address - Phone:213-645-9866
Mailing Address - Fax:
Practice Address - Street 1:27370 HAMMETT CT
Practice Address - Street 2:
Practice Address - City:MORENO VALLEY
Practice Address - State:CA
Practice Address - Zip Code:92555-4998
Practice Address - Country:US
Practice Address - Phone:213-645-9866
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-12-06
Last Update Date:2025-01-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282N00000XHospitalsGeneral Acute Care Hospital
No251E00000XAgenciesHome Health
No3104A0630XNursing & Custodial Care FacilitiesAssisted Living FacilityAssisted Living, Behavioral Disturbances
No322D00000XResidential Treatment FacilitiesResidential Treatment Facility, Emotionally Disturbed Children