Pine Ridge Extended Care Center, Llc in Pagosa Springs - Respite Care

Pine Ridge Extended Care Center, Llc - NPI 1336206010

Pine Ridge Extended Care Center, Llc is a Respite Care in Pagosa Springs, Colorado. Pine Ridge Extended Care Center, Llc practices all healthcare services and medical treatments related to Respite Care. The NPI Number for Pine Ridge Extended Care Center, Llc is 1336206010. The last update date is 2020-08-22.

Pine Ridge Extended Care Center, Llc's current location address is 119 Bastille Dr, Pagosa Springs, Colorado. You can contact this provider via phone number 9707314330 and fax number 9707314046. The mailing address for Pine Ridge Extended Care Center, Llc is 119 Bastille Dr, Pagosa Springs, Colorado. To know further, please read the information below!

Provider Profile Detail

Provider Organization Pine Ridge Extended Care Center, Llc
Address 119 Bastille Dr, Pagosa Springs, Colorado
Phone Number 9707314330
Fax Number 9707314046
Sole Proprietor --
Credentials --

Authorized Official

Title or Position ADMINISTRA
Authorized Official Name Brooks Mary
Telephone Number 9707314330

NPI Number Detail

NPI Number 1336206010
Provider Enumeration Date 2007-01-02
Last Updated Date 2020-08-22

Provider Mailing Address Detail

Address 119 Bastille Dr
City Pagosa Springs
State Colorado (CO)
Post Code 811479388
Phone Number 9707314330
Fax Number 9707314046

Provider's Primary Taxonomy Detail

Speciality Respite Care
Taxonomy 385H00000X
Licence No 105
Definition:
Provides short-term, temporary relief to unpaid caregivers of disabled or chronically ill patients.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
4183539 CO --

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FAQs about Pine Ridge Extended Care Center, Llc

What is the unique 10-digit identification code issued to Pine Ridge Extended Care Center, Llc by the Centers for Medicare & Medicaid Services?

The Pine Ridge Extended Care Center, Llc has been assigned the NPI (National Provider Identifier) 1336206010 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Could you please provide the complete physical location address of Pine Ridge Extended Care Center, Llc?

The Pine Ridge Extended Care Center, Llc is physically situated at 119 Bastille Dr, in the city of Pagosa Springs, state of CO, with the postal code 811479388.

What is Pine Ridge Extended Care Center, Llc's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Pine Ridge Extended Care Center, Llc is Respite Care, and the taxonomy code that classifies this field of practice is 385H00000X.

On what date did Pine Ridge Extended Care Center, Llc receive its 1336206010 assignment from the Centers for Medicare & Medicaid Services?

The Pine Ridge Extended Care Center, Llc was assigned its 1336206010 on 2007-01-02, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

When was the information regarding Pine Ridge Extended Care Center, Llc most recently updated?

The details pertaining to the Pine Ridge Extended Care Center, Llc, including its address, specialty, and other relevant information, were last refreshed on 2020-08-22.

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