Falcon Ridge Ranch Inc

Primary specialty

Psychiatric Residential Treatment FacilityTaxonomy code 323P00000X

License

13368 Issued in UT

Legal business name

FALCON RIDGE RANCH INC

Practice address

633 E Hwy 9
Virgin, UT 84779

Phone

(435) 673-6111

NPI assigned

Nov 24, 2008

Last updated

Jun 24, 2015By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Brian Pace

Title

Executive Director

Phone

(435) 673-6111

Specialties & licenses 2

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1227484800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1435104000000",
    "number": "1285889873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "747 E SAINT GEORGE BLVD",
            "city": "ST GEORGE",
            "state": "UT",
            "postal_code": "847703035",
            "telephone_number": "435-673-6111",
            "fax_number": "435-673-0994"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "633 E HWY 9",
            "city": "VIRGIN",
            "state": "UT",
            "postal_code": "84779",
            "telephone_number": "435-673-6111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FALCON RIDGE RANCH INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-24",
        "last_updated": "2015-06-24",
        "status": "A",
        "authorized_official_last_name": "PACE",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "435-673-6111"
    },
    "taxonomies": [
        {
            "code": "323P00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Residential Treatment Facility",
            "state": "UT",
            "license": "13368",
            "primary": true
        },
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "UT",
            "license": "13368",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Care Youth Corporation
• Care Youth Corporation (Falcon Ridge Ranch)
• Falcon Ridge Ranch Non Profit Organization
• Lorneta Hall Ferguson, LCSW
• Benjamin Barret Haslam
• Sequel Youth Services of Falcon Ridge

• Psychiatric Residential Treatment Facility in Virgin, UT
• Providers in Virgin, UT by specialty
• Psychiatric Residential Treatment Facility in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.