NPIMap

Organization Active NPI

Pine Ridge Rehabilitation and Healthcare Center LLC

  • Respite Care
  • Pagosa Springs, CO
National Provider Identifier
1124755863
Registry record updated Dec 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Respite CareTaxonomy code 385H00000X
Legal business name
PINE RIDGE REHABILITATION AND HEALTHCARE CENTER LLC
Practice address
119 Bastille Dr
Pagosa Springs, CO 81147-9388
Phone
(970) 731-4330
NPI assigned
Aug 3, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Meir Singer
Title
President
Phone
(970) 731-4330

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Respite Care 385H00000X Primary

Addresses

Primary practice location

119 Bastille Dr
Pagosa Springs, CO 81147-9388

Mailing address

575 Route 70 FL 2
Brick, NJ 08723-4042

National Provider Directory

National Provider Directory
Tax ID family
Pine Ridge Rehabilitation and Healthcare2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1659484800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1669939200000",
    "number": "1124755863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "575 ROUTE 70 FL 2",
            "city": "BRICK",
            "state": "NJ",
            "postal_code": "087234042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "119 BASTILLE DR",
            "city": "PAGOSA SPRINGS",
            "state": "CO",
            "postal_code": "811479388",
            "telephone_number": "970-731-4330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PINE RIDGE REHABILITATION AND HEALTHCARE CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-03",
        "last_updated": "2022-12-02",
        "certification_date": "2022-12-02",
        "status": "A",
        "authorized_official_last_name": "SINGER",
        "authorized_official_first_name": "MEIR",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "970-731-4330"
    },
    "taxonomies": [
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pagosa Springs, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.