Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Pine Ridge Extended Care Center, LLC

Organization Respite Care · NPI 1336206010

Pine Ridge Extended Care Center, LLC is a Respite Care in Pagosa Springs, Colorado. Licensed in Colorado. Registered with an NPI since 2007.

Licensed in
CO
In the registry since
2007
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

119 Bastille Dr
Pagosa Springs, CO 81147-9388
Phone: (970) 731-4330
Fax: (970) 731-4046
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Respite Care (primary) Taxonomy 385H00000X · Licence 0105 (CO)

Record details

NPI number1336206010
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mary Brooks — Administrator · (970) 731-4330
Other names Pine Ridge Extended Care Center
NPI enumeratedJanuary 2, 2007
Last updated in NPPESAugust 22, 2020
Mailing address119 Bastille Dr, Pagosa Springs, CO 81147-9388

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