PINE RIDGE EXTEND CARE CENTER, LLC
NPI 1245237494
Skilled Nursing Facility in Pagosa Springs,


Quality Rating: 100 out of 100 score

NPI Status: Active since July 1, 2005

Contact Information

119 Bastille Dr
Pagosa Springs,
Post Code: 81147
Phone: (970) 731-4330
Fax: (970) 731-4046

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Pine Ridge Extend Care Center, Llc in Pagosa Springs - Skilled Nursing Facility

Pine Ridge Extend Care Center, Llc is a Skilled Nursing Facility in Pagosa Springs, . Pine Ridge Extend Care Center, Llc practices all healthcare services and medical treatments related to Skilled Nursing Facility. The NPI Number for Pine Ridge Extend Care Center, Llc is 1245237494. The last update date is 2015-10-06.

Pine Ridge Extend Care Center, Llc's current location address is 119 Bastille Dr, Pagosa Springs, . You can contact this provider via phone number (970) 731-4330 and fax number (970) 731-4046. The mailing address for Pine Ridge Extend Care Center, Llc is 119 Bastille Dr, Pagosa Springs, . To know further, please read the information below!

About GREGORY MERRITT

NPI
1245237494
Provider Legal Name
PINE RIDGE EXTEND CARE CENTER, LLC
Other Organization Name
PINE RIDGE EXTEND CARE CENTER, LLC
Other Name Type
-
Entity Type
Organization
Location Address
119 Bastille Dr, Pagosa Springs,
Location Phone
(970) 731-4330
Location Fax
(970) 731-4046
Mailing Address
119 Bastille Dr, Pagosa Springs, Colorado(CO)
Mailing Phone
970-731-4330
Mailing Fax
970-731-4046
Enumeration Date
2005-07-01
Last Update Date
2015-10-06
Code Navigator

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

Skilled Nursing Facility

Taxonomy Code
314000000X
Type
-
License No.
0105
License State
Colorado (CO)
Taxonomy Description
-

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
05652839 MEDICAID (05) Colorado (CO)

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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.
1245237494
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
22854314418
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. 22854314418
2 + 2 + 8 + 5 + 4 + 3 + 1 + 4 + 4 + 1 + 8 + 24 = 66
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 66 = 4 4

The NPI number 1245237494 is valid because the calculated check digit 4 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 5 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1023011046 WILLIAM R DOVE
Individual
Psychologist 1106 N CASCADE AVE
COLORADO SPRINGS, Colorado (CO)
719-632-4812
1154324168 COLORADO PROFESSIONAL MEDICAL, INC
Organization
Prosthetic/Orthotic Supplier 175 S UNION BLVD
COLORADO SPRINGS, Colorado (CO)
719-632-5075
1104829118 KENNETH BILLINGS ALLEN
Individual
Dentist, General Practice 1337 RIVERSIDE AVE
FORT COLLINS, Colorado (CO)
970-221-1658
1164425336 BIOSCRIP PHARMACY(NY), INC
BIOSCRIP INFUSION SERVICES
Organization
Home Health 1 VERMONT DR.
LAKE SUCCESS, New York (NY)
877-501-0108
1184627218 LARRY D KIEFT
Individual
Specialist 1136 E STUART ST
FORT COLLINS, Colorado (CO)
970-493-5904