PINE RIDGE EXTEND CARE CENTER, LLC
NPI 1245237494
Skilled Nursing Facility in Pagosa Springs, CO

Active since July 01, 2005
119 BASTILLE DR, PAGOSA SPRINGS, CO 81147(970) 731-4330(970) 731-4046 Get Directions Write a Review

NPPES record last updated: October 6, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Pine Ridge Extend Care Center, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PINE RIDGE EXTEND CARE CENTER, LLC (NPI 1245237494) is a healthcare organization registered as a skilled nursing facility in Pagosa Springs, Colorado and active in the NPI registry since July 2005. The organization lists Mary J. Brooks, Nursing Home Administrator, as its authorized official.

NPPES Registry Identity

NPI1245237494
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NamePINE RIDGE EXTEND CARE CENTER, LLC
Location Address119 BASTILLE DRPagosa Springs, CO 81147-9388
Mailing Address119 Bastille DrPagosa Springs, CO 81147-9388 · (970) 731-4330 · Fax (970) 731-4046
Fax(970) 731-4046
Organization SubpartNo
Authorized OfficialMary J. BrooksNursing Home Administrator · (970) 731-4330
Enumeration DateJuly 1, 2005
Last NPPES UpdateOctober 6, 2015
NPI 1245237494 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySkilled Nursing FacilityNursing & Custodial Care Facilities
Taxonomy Code314000000X
License Licensed in CO · 0105
Definition
(1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis.
119 BASTILLE DR, Pagosa Springs, CO 81147

Other Identifiers 2

Medicare UPIN065366CO
Medicaid05652839CO

Other Providers at the Same Location NPPES 15

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Respite Care
119 BASTILLE DR
PAGOSA SPRINGS, CO 81147
Occupational Therapy Assistant
119 BASTILLE DR
PAGOSA SPRINGS, CO 81147
Occupational Therapist
119 BASTILLE DR
PAGOSA SPRINGS, CO 81147
Respite Care
119 BASTILLE DR
PAGOSA SPRINGS, CO 81147
Physical Therapy Assistant
119 BASTILLE DR
PAGOSA SPRINGS, CO 81147
Physical Therapy Assistant
119 BASTILLE DR
PAGOSA SPRINGS, CO 81147
Physical Therapy Assistant
119 BASTILLE DR
PAGOSA SPRINGS, CO 81147
Physical Therapist
119 BASTILLE DR
PAGOSA SPRINGS, CO 81147

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Pine Ridge Extend Care Center, LLC's NPI number?

The NPI number for Pine Ridge Extend Care Center, LLC is 1245237494. It was assigned to this organization in the NPPES registry on July 1, 2005.

Where is Pine Ridge Extend Care Center, LLC located?

Pine Ridge Extend Care Center, LLC is located at 119 Bastille Dr, Pagosa Springs, CO 81147. The listed phone number is (970) 731-4330.

What is Pine Ridge Extend Care Center, LLC's specialty?

The primary specialty registered for this NPI is Skilled Nursing Facility with taxonomy code 314000000X.

When was this NPI record last updated?

The NPPES record for Pine Ridge Extend Care Center, LLC was last updated on October 6, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.