PINE RIDGE EXTENDED CARE CENTER
NPI 1336206010
Respite Care in Pagosa Springs, CO

Active since January 02, 2007
119 BASTILLE DR, PAGOSA SPRINGS, CO 81147(970) 731-4330(970) 731-4046 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Pine Ridge Extended Care Center NPPES

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

PINE RIDGE EXTENDED CARE CENTER (NPI 1336206010) is a healthcare organization registered as a respite care in Pagosa Springs, Colorado and active in the NPI registry since January 2007. The organization lists Mary Brooks, Administrator, as its authorized official.

NPPES Registry Identity

NPI1336206010
Entity TypeOrganization
Primary Taxonomy385H00000X
Legal Business NamePINE RIDGE EXTENDED 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 BrooksAdministrator · (970) 731-4330
Enumeration DateJanuary 2, 2007
Last NPPES UpdateAugust 22, 2020
NPI 1336206010 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyRespite CareRespite Care Facility
Taxonomy Code385H00000X
License Licensed in CO · 0105
119 BASTILLE DR, Pagosa Springs, CO 81147

Other Names 1

Doing Business AsPine Ridge Extended Care Center

Other Identifiers 1

Medicaid04183539CO

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
Skilled Nursing Facility
119 BASTILLE DR
PAGOSA SPRINGS, CO 81147
Occupational Therapist
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 Extended Care Center, LLC's NPI number?

The NPI number for Pine Ridge Extended Care Center, LLC is 1336206010. It was assigned to this organization in the NPPES registry on January 2, 2007. The provider is doing business as Pine Ridge Extended Care Center.

Where is Pine Ridge Extended Care Center, LLC located?

Pine Ridge Extended 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 Extended Care Center, LLC's specialty?

The primary specialty registered for this NPI is Respite Care with taxonomy code 385H00000X.

When was this NPI record last updated?

The NPPES record for Pine Ridge Extended Care Center, LLC was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.