Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Novo Ranch LLC

Organization Emotionally Disturbed Childrens' Residential Treatment Facility · NPI 1760724280

Novo Ranch LLC is an Emotionally Disturbed Childrens' Residential Treatment Facility in Roosevelt, Utah. Licensed in Utah. Registered with an NPI since 2013.

Licensed in
UT
In the registry since
2013
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

3549 W 1000 N
Roosevelt, UT 84066
Phone: (435) 823-4472
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Emotionally Disturbed Childrens' Residential Treatment Facility (primary) Taxonomy 322D00000X · Licence 20426 (UT)

Record details

NPI number1760724280
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Beau Hancock — Operations Director · (435) 823-4472
NPI enumeratedMarch 22, 2013
Last updated in NPPESMarch 22, 2013
Mailing addressRr 4 Box 4407, Roosevelt, UT 84066-9805

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