CROSS CREEK MANOR, LLC – NPI #1356476873
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.

CROSS CREEK MANOR, LLC is a residential treatment facility located in LA VERKIN, UT. NPPES has assigned the NPI number 1356476873 to CROSS CREEK MANOR, LLC on February 23, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 322D00000X from the Health Care Provider Taxonomy code set, which is classified as Residential Treatment Facility, Emotionally Disturbed Children.

The NPI profile was last updated on Sep 11, 2025. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for CROSS CREEK MANOR, LLC below.

NPI Profile for
CROSS CREEK MANOR, LLC

NPI Number
1356476873
Enumeration Date

(more than 19 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
CROSS CREEK MANOR, LLC
Primary location
150 N STATE ST
LA VERKIN, UT 84745-5503
Phone: (435) 635-2390 Fax: (435) 635-2778
Mailing address
50 S STATE ST
LA VERKIN, UT 84745-5400
Phone: (435) 635-2390 Fax: (435) 635-2778
Organization Subpart
No
Authorized Official
KARR FARNSWORTH
DIRECTOR
Phone: (435) 635-6003
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
322D00000X
- Residential Treatment Facility, Emotionally Disturbed Children (Primary)
UT 12143
323P00000X
- Psychiatric Residential Treatment Facility
UT 12145

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.