Bolivar Operator LLC
NPI 1316018286 · Skilled Nursing Facility · Bolivar, TN
Enrolled with Medicare as Part a Provider - Skilled Nursing Facility · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Bolivar Operator LLC is a Skilled Nursing Facility organization in Bolivar, TN (NPI 1316018286).
Provider details
- NPI number
- 1316018286
- Entity type
- Organization
- Primary specialty
- Skilled Nursing FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Stacey Rogers, Chief Financial Officer(502) 429-8062
- License
- 171 (TN)
Specialties & taxonomies
Nursing & Custodial Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Pine Meadows Healthcare
- Doing business as
- Pine Meadows Healthcare and Rehabilitation Center
Registry dates
- Enumerated
- 2006-11-13
- Last updated
- 2020-04-13
- Certified
- 2020-04-13
Frequently asked questions
- What is Bolivar Operator LLC's NPI number?
- Bolivar Operator LLC's National Provider Identifier (NPI) is 1316018286, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Bolivar Operator LLC?
- Bolivar Operator LLC is classified in the NPPES registry as Skilled Nursing Facility (Nursing & Custodial Care Facilities).
- Where is Bolivar Operator LLC located?
- Bolivar Operator LLC's practice location on file with NPPES is 700 Nuckolls Rd, Bolivar, TN 38008-1531.
- What is Bolivar Operator LLC's phone number?
- The practice phone number listed in the NPPES registry for Bolivar Operator LLC is (731) 658-4707.
- Does Bolivar Operator LLC accept Medicare?
- Bolivar Operator LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Bolivar Operator LLC?
- The authorized official listed on Bolivar Operator LLC's NPPES record is Stacey Rogers, Chief Financial Officer. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Bolivar Operator LLC's NPI active?
- Yes — Bolivar Operator LLC's NPI (1316018286) is active in the NPPES registry as of the last update on 2020-04-13.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.