Pine Ridge Extend Care Center, LLC
NPI 1245237494 · Skilled Nursing Facility · Pagosa Springs, CO
Pine Ridge Extend Care Center, LLC is a Skilled Nursing Facility organization in Pagosa Springs, CO (NPI 1245237494).
Provider details
- NPI number
- 1245237494
- Entity type
- Organization
- Primary specialty
- Skilled Nursing FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Mary Brooks, Nursing Home Administrator(970) 731-4330
- License
- 0105 (CO)
Specialties & taxonomies
Nursing & Custodial Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
21 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2005-07-01
- Last updated
- 2015-10-06
Frequently asked questions
- What is Pine Ridge Extend Care Center, LLC's NPI number?
- Pine Ridge Extend Care Center, LLC's National Provider Identifier (NPI) is 1245237494, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Pine Ridge Extend Care Center, LLC?
- Pine Ridge Extend Care Center, LLC is classified in the NPPES registry as Skilled Nursing Facility (Nursing & Custodial Care Facilities).
- Where is Pine Ridge Extend Care Center, LLC located?
- Pine Ridge Extend Care Center, LLC's practice location on file with NPPES is 119 Bastille Dr, Pagosa Springs, CO 81147-9388.
- What is Pine Ridge Extend Care Center, LLC's phone number?
- The practice phone number listed in the NPPES registry for Pine Ridge Extend Care Center, LLC is (970) 731-4330.
- Who is the authorized official for Pine Ridge Extend Care Center, LLC?
- The authorized official listed on Pine Ridge Extend Care Center, LLC's NPPES record is Mary Brooks, Nursing Home Administrator. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Pine Ridge Extend Care Center, LLC's NPI active?
- Yes — Pine Ridge Extend Care Center, LLC's NPI (1245237494) is active in the NPPES registry as of the last update on 2015-10-06.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.