CROSS CREEK MANOR LLC NPI 1356476873

NPI Information

  • NPI: 1356476873
  • Provider Name: CROSS CREEK MANOR, LLC
  • Classification: Residential Treatment Facility, Emotionally Disturbed Children - 322D00000X
  • Entity Type: Organization
  • Other Name: CROSS CREEK MANOR
  • Address: 150 N STATE ST
    LA VERKIN, UT
    ZIP 84745
  • Phone: (435) 635-2390

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NPI Details

CROSS CREEK MANOR, LLC is a residential treatment facility emotionally disturbed children in La Verkin, UT. The provider is a residential facility that provides habilitation services and other care and treatment to children diagnosed with mental health illness, behavioral issues, and intellectual disabilities and are not able to live independently. CROSS CREEK MANOR, LLC NPI is 1356476873. The provider is registered as an organization entity type.
The provider Other Name Is Cross Creek Manor.

The provider's business location address is:

150 N STATE ST
LA VERKIN, UT
ZIP 84745-503
Phone: (435) 635-2390
Fax: (435) 635-2778

The provider's authorized official is Karr Farnsworth .
The authorized official title is Director and has the following contact phone number (435) 635-6003.

The enumeration date for this NPI number is 2/23/2007 and was last updated on 8/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1322D00000XResidential Treatment Facility, Emotionally Disturbed Children12143UTAHYes
2323P00000XPsychiatric Residential Treatment Facility12145UTAHX

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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