WHITE PINE BOYS RANCH LLC NPI 1437595568

NPI Information

  • NPI: 1437595568
  • Provider Name: WHITE PINE BOYS RANCH, LLC
  • Classification: Residential Treatment Facility, Emotionally Disturbed Children - 322D00000X
  • Entity Type: Organization
  • Doing Business As: HOME ON THE RANGE YOUTH RANCH
  • Address: HC 34 BOX 34165
    ELY, NV
    ZIP 89301
  • Phone: (775) 238-5100

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NPI Details

WHITE PINE BOYS RANCH, LLC is a residential treatment facility emotionally disturbed children in Ely, NV. 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. WHITE PINE BOYS RANCH, LLC NPI is 1437595568. The provider is registered as an organization entity type.
The provider Is Doing Business As Home On The Range Youth Ranch.

The provider's business location address is:

HC 34 BOX 34165
ELY, NV
ZIP 89301-206
Phone: (775) 238-5100
Fax: (775) 238-5103

The provider's authorized official is Lawrence Alan Bradley .
The authorized official title is Executive Director and has the following contact phone number (775) 238-5100.

The enumeration date for this NPI number is 5/15/2013 and was last updated on 5/15/2013.

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
13245S0500XSubstance Abuse Rehabilitation FacilitySubstance Abuse Treatment, Children1389-13NEVADANo
2322D00000XResidential Treatment Facility, Emotionally Disturbed Children1389-13NEVADAYes

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: 11/21/2025

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