PINE RIDGE EXTENDED CARE CENTER
NPI 1336206010
Respite Care in Pagosa Springs, CO
NPI Status: Active since January 02, 2007
Contact Information
119 BASTILLE DR
PAGOSA SPRINGS, CO
ZIP 81147
Phone: (970) 731-4330
Fax: (970) 731-4046
- Organization
- Respite Care
About PINE RIDGE EXTENDED CARE CENTER
This page provides the complete NPI Profile along with additional information for Pine Ridge Extended Care Center, a provider established in Pagosa Springs, Colorado operating as a Respite Care. The healthcare provider is registered in the NPI registry with number 1336206010 assigned on January 2007. The practitioner's primary taxonomy code is 385H00000X with license number 0105 (CO). The provider is registered as an organization and their NPI record was last updated 5 years ago. The provider's is doing business as Pine Ridge Extended Care Center. The authorized official of this NPI record is Mary Brooks (Administrator)
- NPI
- 1336206010
- Provider Legal Name
- PINE RIDGE EXTENDED CARE CENTER, LLC
- Other Organization Name
- PINE RIDGE EXTENDED CARE CENTER
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 119 BASTILLE DR PAGOSA SPRINGS, CO 81147
- Location Phone
- (970) 731-4330
- Location Fax
- (970) 731-4046
- Mailing Address
- 119 BASTILLE DR PAGOSA SPRINGS, CO 81147
- Mailing Phone
- (970) 731-4330
- Mailing Fax
- (970) 731-4046
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 01-02-2007
- Last Update Date
- 08-22-2020
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Respite Care
- Taxonomy Code
- 385H00000X
- Type
- Respite Care Facility
- License No.
- 0105
- License State
- CO
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 04183539 | MEDICAID (05) | CO |
Reviews for PINE RIDGE EXTENDED CARE CENTER
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 3 | 3 | 6 | 2 | 0 | 6 | 0 | 1 | 0 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 3 | 6 | 6 | 4 | 0 | 12 | 0 | 2 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 3 + 6 + 6 + 4 + 0 + 1 + 2 + 0 + 2 + 24 = 50 | |||||||||
| Step 3: because the number obtained in step 2 ends in zero, the check digit is zero. | |||||||||
| 0 | |||||||||
The NPI number 1336206010 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 15 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1558685792 | ERICA J ROBINSON Individual | Physical Therapy Assistant | 119 BASTILLE DR PAGOSA SPRINGS, CO 81147 (970) 731-4330 |
| 1306161146 | MRS. KRISTIN RENEE OVENSHIRE MOREHOUSE MSOT. MED Individual | Occupational Therapist | 119 BASTILLE DR PAGOSA SPRINGS, CO 81147 (970) 731-4041 |
| 1700102183 | PATRICIA VORHIES COTA Individual | Occupational Therapy Assistant | 119 BASTILLE DR PAGOSA SPRINGS, CO 81147 (970) 731-4330 |
| 1851692255 | MRS. JEANETTE LOUISE WOLFE PIKE OTR Individual | Occupational Therapist | 119 BASTILLE DR PAGOSA SPRINGS, CO 81147 (970) 731-4330 |
| 1174881452 | ALLISON QUALLS COTA Individual | Occupational Therapy Assistant | 119 BASTILLE DR PAGOSA SPRINGS, CO 81147 (970) 731-4330 |
| 1588912992 | JOYCE R HILL PT Individual | Physical Therapist | 119 BASTILLE DR PAGOSA SPRINGS, CO 81147 (970) 731-4330 |
| 1497091763 | KIMBERLY DENNIS Individual | Physical Therapy Assistant | 119 BASTILLE DR PAGOSA SPRINGS, CO 81147 (970) 731-4330 |
| 1528308491 | TANJA MOREHOUSE Individual | Physical Therapy Assistant | 119 BASTILLE DR PAGOSA SPRINGS, CO 81147 (970) 731-4330 |
| 1902230881 | MARTHA PYATT Individual | Speech-Language Pathologist | 119 BASTILLE DR PAGOSA SPRINGS, CO 81147 (970) 731-4330 |
| 1881070571 | CRYSTAL DEFIELD Individual | Speech-Language Pathologist | 119 BASTILLE DR PAGOSA SPRINGS, CO 81147 (888) 873-4221 |
| 1770969149 | EMILY BLOOD Individual | Physical Therapist | 119 BASTILLE DR PAGOSA SPRINGS, CO 81147 (877) 873-4221 |
| 1245237494 | PINE RIDGE EXTEND CARE CENTER, LLC Organization | Skilled Nursing Facility | 119 BASTILLE DR PAGOSA SPRINGS, CO 81147 (970) 731-4330 |
| 1922005644 | PINE RIDGE EXTENDED CARE CENTER Organization | Assisted Living Facility | 119 BASTILLE DR PAGOSA SPRINGS, CO 81147 (970) 731-4330 |
| 1124755863 | PINE RIDGE REHABILITATION AND HEALTHCARE CENTER LLC Organization | Respite Care | 119 BASTILLE DR PAGOSA SPRINGS, CO 81147 (970) 731-4330 |
| 1598492233 | PINE RIDGE REHABILITATION AND HEALTHCARE CENTER LLC Organization | Skilled Nursing Facility | 119 BASTILLE DR PAGOSA SPRINGS, CO 81147 (970) 731-4330 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1336206010, enumerated in the NPI registry as an "organization" on January 02, 2007
The provider is located at 119 Bastille Dr Pagosa Springs, Co 81147 and the phone number is (970) 731-4330
This medical organization specializes in Respite Care with taxonomy code 385H00000X
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
This NPI record was last updated on January 02, 2007. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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