Cross Creek Manor, LLC
Organization Active NPI Emotionally Disturbed Childrens' Residential Treatment Facility · La Verkin, UT
NPI 1356476873 · NPPES record last updated Sep 11, 2025
Key facts
- NPI
- 1356476873
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Emotionally Disturbed Childrens' Residential Treatment Facility 322D00000X
- License
- 12143 (UT)
- Legal business name
- CROSS CREEK MANOR, LLC
- Practice address
- 150 N State St
La Verkin, UT 84745-5503 - Phone
- (435) 635-2390
- Fax
- (435) 635-2778
- NPI assigned
- Feb 23, 2007
- Organization subpart
- No
Authorized official
- Name
- Mr. Karr Farnsworth
- Title
- Director
- Phone
- (435) 635-6003
Corporate family (same tax ID) 1
National Provider Directory
- Tax ID family
- Cross Creek Manor
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emotionally Disturbed Childrens' Residential Treatment Facility | 322D00000X | 12143 | UT | Yes |
| Psychiatric Residential Treatment Facility | 323P00000X | 12145 | UT |
Addresses
Primary practice location
150 N State St
La Verkin, UT 84745-5503
Mailing address
50 S State St
La Verkin, UT 84745-5400
Phone (435) 635-2390
Other names
- CROSS CREEK MANOR
Other providers in La Verkin, UT
- Carevoy LLC
- Carevoy LLC
- Cross Creek Manor
- Davis-Burkett Food Corp
- Desert Oasis Therapy LLC
- Stormi Ence
- Timandra E. Fawson
- Clifford E Holt
All providers in La Verkin, UT · Emotionally Disturbed Childrens' Residential Treatment Facility in Utah
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 11, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.