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Pine Ridge Extended Care Center, LLC

Respite Care in Pagosa Springs, CO · enumerated 2007 · authorized official Mary Brooks, Administrator.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1336206010

Verified

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Registry record

Entity type Organization (Type 2)
Legal business name Pine Ridge Extended Care Center, LLC
Other name <Unavail>
Practice address 119 Bastille Dr, Pagosa Springs, CO, 81147
Fax (970) 731-4046
Enumeration date Jan 2, 2007
Last updated in NPPES Aug 22, 2020

Taxonomy & classification

385H00000X Respite Care Respite Care Facility · License 0105 (CO) Primary

Authorized official

Name Mary Brooks
Title Administrator

Other identifiers

Identifier Type State Issuer
04183539 Medicaid CO -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is a Type 2 NPI?
A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.
What type of organization is Pine Ridge Extended Care Center, LLC?
Pine Ridge Extended Care Center, LLC is registered in NPPES as a Respite Care (its primary provider taxonomy).

Providers at this address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2020-08-22.