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PINE RIDGE EXTEND CARE CENTER, LLC , NPI 1245237494

Skilled Nursing Facility in PAGOSA SPRINGS, CO

Last Updated on : Oct 06,2015

PINE RIDGE EXTEND CARE CENTER, LLC , NPI 1245237494

About PINE RIDGE EXTEND CARE CENTER, LLC (NPI 1245237494)


PINE RIDGE EXTEND CARE CENTER, LLC is a Skilled Nursing Facility in PAGOSA SPRINGS, United States .

1245237494 is NPI number of PINE RIDGE EXTEND CARE CENTER, LLC.

PINE RIDGE EXTEND CARE CENTER, LLC's primary taxonomy code based on NPI Lookup is 314000000X with license number 0105. This taxonomy code refers to Skilled Nursing Facility.

PINE RIDGE EXTEND CARE CENTER, LLC current practice location address is 119 BASTILLE DR, PAGOSA SPRINGS, CO. PINE RIDGE EXTEND CARE CENTER, LLC can be reached out via phone at 970-731-4330 and via fax at 970-731-4046 .

You can also correspond with PINE RIDGE EXTEND CARE CENTER, LLC through mail at mailing address 119 BASTILLE DR, PAGOSA SPRINGS, CO, United States. Mailing address contact number is 970-731-4330.

The enumeration date of PINE RIDGE EXTEND CARE CENTER, LLC is 01-Jul-2005. The provider is registered as an Organization and the NPI record was last updated 7 years ago.

The authorized official of PINE RIDGE EXTEND CARE CENTER, LLC is Mary Brooks (Nursing Home Administrator). Mary Brooks can be reached at 9707314330.

1245237494 NPI Information

Basic NPI information of PINE RIDGE EXTEND CARE CENTER, LLC (NPI 1245237494) is provided below.

Name PINE RIDGE EXTEND CARE CENTER, LLC
National Provider Id (NPI) 1245237494
Entity Type Organization
Practice Address 119 BASTILLE DR,
PAGOSA SPRINGS, CO, United States
Practice Telephone 970-731-4330
Practice Fax Number 970-731-4046
Mailing Address 119 BASTILLE DR ,
PAGOSA SPRINGS, CO, United States
Mailing Telephone 970-731-4330
Mailing Fax Number 970-731-4046
Enumeration Date 01-Jul-2005
Last Updated Date 06-Oct-2015

PINE RIDGE EXTEND CARE CENTER, LLC (NPI 1245237494) Primary Taxonomy Information

The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs, the license data is associated to the taxonomy code.

Primary Taxonomy Code Clasification License Number License State
Y 314000000X Skilled Nursing Facility 0105 CO

(1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis.

Additional Identifiers

Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type/Code Identifier State Identifier Issuer
05652839 MEDICAID (05) CO
065366 MEDICARE UPIN (02) CO

PINE RIDGE EXTEND CARE CENTER, LLC (NPI 1245237494) Office Location

Office location of PINE RIDGE EXTEND CARE CENTER, LLC is provided in the Google maps below.

Providers in same location

Here are a few of the other providers in the same location.

NPI Name Taxonomy Address Enumeration date
1790289163 JACKISCH DRUG STORE, LLC Pharmacy, Community/Retail Pharmacy 115 MILLS ST,
OLIVE HILL, KY, United States
21-Mar-2018
1336206010 PINE RIDGE EXTENDED CARE CENTER, LLC Respite Care 119 BASTILLE DR,
PAGOSA SPRINGS, CO, United States
02-Jan-2007
1205224987 MASSAGE CONNECTION, LLC Clinic/Center 55 BLUE HERON CIR,
PAGOSA SPRINGS, CO, United States
02-Jan-2015
1932565967 JEANNE MAROTTA Registered Nurse 52 VILLAGE DR,
PAGOSA SPRINGS, CO, United States
06-Jan-2016
1558419911 SARAH G CONTI Counselor, Addiction (Substance Use Disorder) PO BOX 2405,
PAGOSA SPRINGS, CO, United States
08-Jan-2007
1841279742 LISA LYNN RAYMOND Physical Therapist 190 TALISMAN DR, UNIT D4
PAGOSA SPRINGS, CO, United States
10-Jan-2006
1104215540 WALMART INC. Durable Medical Equipment & Medical Supplies 211 ASPEN VILLAGE DR,
PAGOSA SPRINGS, CO, United States
22-Jan-2015
1437204351 KATHLEEN ALLEN Counselor, Professional 145 EVANS COURT,
PAGOSA SPRINGS, CO, United States
23-Jan-2007
1417003013 PETER DUNCAN MARSHALL Family Medicine 95 S PAGOSA BLVD,
PAGOSA SPRINGS, CO, United States
26-Jan-2007
1134519317 JEREMIAH SCOTT Social Worker 708 FOXFARM CIR,
BAYFIELD, CO, United States
27-Jan-2015
1003353061 GEORGE BROWN Taxi 181 RIVER FOREST DR,
PAGOSA SPRINGS, CO, United States
27-Jan-2017
1205974870 IN BALANCE PHYSICAL THERAPY LLC Clinic/Center, Physical Therapy 2343 EAGLE DR # 2,
PAGOSA SPRINGS, CO, United States
03-Feb-2007
1114290376 PAMELA MARIE GEMBICA Marriage & Family Therapist 26 TONTO CT, PO BOX 2363
PAGOSA SPRINGS, CO, United States
20-Feb-2012
1043350945 MICHELLE FLEMMINGS Emergency Medicine 95 S PAGOSA BLVD,
PAGOSA SPRINGS, CO, United States
08-Feb-2007
1952441859 RALPH BATTELS Emergency Medicine 95 S PAGOSA BLVD,
PAGOSA SPRINGS, CO, United States
08-Feb-2007
1861534109 ARCHULETA COUNTY TRANSPORTATION Bus PO BOX 1507,
PAGOSA SPRINGS, CO, United States
13-Feb-2007
1134195431 AUGUST VANDERBEEK Psychologist 581 RAINBOW DR,
PAGOSA SPRINGS, CO, United States
27-Feb-2006
1780727065 UPPER SAN JUAN HEALTH SERVICE DISTRICT Non-emergency Medical Transport (VAN) 95 S PAGOSA BLVD,
PAGOSA SPRINGS, CO, United States
15-Feb-2007
1447525209 JAMES BICHLER Pharmacist 426 N PAGOSA ST,
PAGOSA SPRINGS, CO, United States
13-Mar-2012
1528308491 TANJA MOREHOUSE Physical Therapy Assistant 3017 W 4TH AVE,
DURANGO, CO, United States
28-Feb-2013

How to check whether NPI 1063496693 is valid?

The following video explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

FAQs

Whose NPI Number is 1245237494?

1245237494 is the NPI number of PINE RIDGE EXTEND CARE CENTER, LLC.

Where is PINE RIDGE EXTEND CARE CENTER, LLC located?

PINE RIDGE EXTEND CARE CENTER, LLC is located at 119 BASTILLE DR, PAGOSA SPRINGS, CO.

NPI number meaning

Field Name Field Value
NPI 10-position all-numeric identification number assigned by the NPS to uniquely identify a health care provider.
Entity Type Code describing the type of health care provider that is being assigned an NPI. Codes are:
  • 1 = (Person): individual human being who furnishes health care;
  • 2 = (Non-person): entity other than an individual human being that furnishes health care (for example, hospital, SNF, hospital subunit, pharmacy, or HMO).
Provider Business Mailing Address The mailing address of the provider being identified contains First line, Second Line, City name, State name, Postal code, and Country code.
Provider Business Mailing Address Telephone Number The telephone number associated with mailing address of the provider being identified. This data element may contain the same information as "Provider location address telephone number".
Provider Business Mailing Address Fax Number The fax number associated with the mailing address of the provider being identified. This data element may contain the same information as ''Provider location address fax number''.
Provider Business Practice Location Address Telephone Number The telephone number associated with the location address of the provider being identified.
Provider Business Practice Location Address Fax Number The fax number associated with the location address of the provider being identified.
Provider Enumeration Date The date the provider was assigned a unique identifier (assigned an NPI).
Last Update Date The date that a record was last updated or changed.
Authorized Official Telephone Number The 10-position telephone number of the authorized official.
Healthcare Provider Taxonomy Code The Health Care Provider Taxonomy code is a unique alphanumeric code, ten characters in length. The code set is structured into three distinct "Levels" including Provider Type, Classification, and Area of Specialization.
Healthcare Provider Taxonomy Taxonomy Description of the Healthcare Provider.
Provider License Number Certain taxonomy selections will require you to enter your license number and the state where the license was issued. Select Foreign Country in the state drop down box if the license was issued outside of United States. The License Number field allows the following special characters: ampersand, apostrophe, colon, comma, forward slash, hyphen, left and right parentheses, period, pound sign, quotation mark, and semi-colon. A field cannot contain all special characters. DO NOT report the Social Security Number (SSN), IRS Individual Taxpayer Identification Number (ITIN) in this section.
Provider License Number State Code Provider License Number State Code #1
Healthcare Provider Primary Taxonomy Switch Primary Taxonomy:
  • X - The primary taxonomy switch is Not Answered;
  • Y - The taxonomy is the primary taxonomy (there can be only one per NPI record);
  • N - The taxonomy is not the primary taxonomy.
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