OrganizationActive
Pine Ridge Extended Care Center, LLC
NPI 1336206010 · Respite Care · Pagosa Springs, CO
Pine Ridge Extended Care Center, LLC is a Respite Care organization in Pagosa Springs, CO (NPI 1336206010).
Provider details
- NPI number
- 1336206010
- Entity type
- Organization
- Primary specialty
- Respite CareRespite Care Facility
- Organization subpart
- No
- Authorized official
- Mary Brooks, Administrator(970) 731-4330
- License
- 0105 (CO)
Specialties & taxonomies
Respite Care Facility
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 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
119 Bastille Dr
Pagosa Springs, CO 81147-9388
Phone: (970) 731-4330
Fax: (970) 731-4046
Street-level locationGet directions
Mailing address
119 Bastille Dr
Pagosa Springs, CO 81147-9388
Other names (DBA / former)
- Doing business as
- Pine Ridge Extended Care Center
Registry dates
- Enumerated
- 2007-01-02
- Last updated
- 2020-08-22
Frequently asked questions
- What is Pine Ridge Extended Care Center, LLC's NPI number?
- Pine Ridge Extended Care Center, LLC's National Provider Identifier (NPI) is 1336206010, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Pine Ridge Extended Care Center, LLC?
- Pine Ridge Extended Care Center, LLC is classified in the NPPES registry as Respite Care (Respite Care Facility).
- Where is Pine Ridge Extended Care Center, LLC located?
- Pine Ridge Extended Care Center, LLC's practice location on file with NPPES is 119 Bastille Dr, Pagosa Springs, CO 81147-9388.
- What is Pine Ridge Extended Care Center, LLC's phone number?
- The practice phone number listed in the NPPES registry for Pine Ridge Extended Care Center, LLC is (970) 731-4330.
- Who is the authorized official for Pine Ridge Extended Care Center, LLC?
- The authorized official listed on Pine Ridge Extended Care Center, LLC's NPPES record is Mary Brooks, Administrator. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Pine Ridge Extended Care Center, LLC's NPI active?
- Yes — Pine Ridge Extended Care Center, LLC's NPI (1336206010) is active in the NPPES registry as of the last update on 2020-08-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.