National Provider Identifier Database

CROSS CREEK MANOR LLC
Residential Treatment Facility, Emotionally Disturbed Children

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.


Contact Information

CROSS CREEK MANOR, LLC
150 N STATE ST
LA VERKIN, UT84745-5503
Phone: 435-635-2390
Fax: 435-635-2778
Website:
Specialty Taxonomy Code
* Residential Treatment Facility, Emotionally Disturbed Children 322D00000X
Psychiatric Residential Treatment Facility 323P00000X

* Indicates primary specialty

NPI Profile & details for CROSS CREEK MANOR, LLC

NPI Number 1356476873
Legal business name
LBN
CROSS CREEK MANOR, LLC
Authorized official KARR FARNSWORTH - (DIRECTOR)
Entity Organization
Organization subpart No
Enumeration date 02/23/2007
Last updated 09/11/2025 - About 9 months ago
Sole proprietor1 Not specified
Identifiers
  • UT License #: 12143
  • UT License #: 12145

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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