OrganizationActive
Pine Ridge Extended Care Center, LLC
NPI 1336206010 · Respite Care · Pagosa Springs, CO
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
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.