Organization · Type 2 NPI

Bolivar Operator LLC

Skilled Nursing Facility · Bolivar, TN

NPI number 1316018286 Active

Practice location

700 Nuckolls Rd
Bolivar, TN 38008-1531

Call (731) 658-4707 Map

Fax (731) 658-4769

Mailing address

7400 New La Grange Rd, Suite #100
Louisville, KY 40222-4870

Specialties and licenses

Taxonomy	Code	License
Skilled Nursing Facility Primary	314000000X	171 (TN)

Skilled Nursing Facility: (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to r…

10 other providers at this address

Other skilled nursing facility providers in Bolivar

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NPI record

NPI: 1316018286
Entity type: Organization (Type 2)
Issued: Nov 13, 2006
Last updated: Apr 13, 2020
Status: Active

Other names

<unavail>
Pine Meadows Healthcare · doing business as
Pine Meadows Healthcare and Rehabilitation Center · doing business as

Authorized official

Mr. Stacey Paul Rogers
Chief Financial Officer
(502) 429-8062

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1316018286

Bolivar Operator LLC's National Provider Identifier is 1316018286, issued on Nov 13, 2006. The primary taxonomy on file is Skilled Nursing Facility (314000000X), and the practice location is in Bolivar, TN. The record was last updated on Apr 13, 2020.