Pine Ridge Extended Care Center

LBN: Pine Ridge Extended Care Center
Pine Ridge Extended Care Center is an health care organization with primary practice located at 119 Bastille Dr , Pagosa Springs CO 81147-9388. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Assisted Living Facility, which is considered as the primary health care specialty. Pine Ridge Extended Care Center can be contacted via phone (970) 731-4330, or through Brooks, Mary J via phone (970) 731-4330.

Contact Information

Primary practice address
119 Bastille Dr Pagosa Springs CO 81147-9388
Phone: (970) 731-4330
Fax: (970) 731-4046
Website:
Map and Directions
Authorized official contact:
Name: Brooks, Mary J Registered Nurse (RN)
Phone: (970) 731-4330

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Assisted Living Facility 310400000X AL0228 Colorado

Profile Details

NPI number 1922005644
LBN Legal business name Pine Ridge Extended Care Center
DBA Doing business as
Authorized official Brooks, Mary J Registered Nurse (RN)
Entity Organization
Organization subpart 1 No
Enumeration date Jul 7th, 2005
Last updated Aug 22nd, 2020 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1922005644 NPPES
Colorado MEDICAID 04143434

Popular Providers