Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Bolivar Operator LLC

Organization Skilled Nursing Facility · NPI 1316018286

Bolivar Operator LLC is a Skilled Nursing Facility in Bolivar, Tennessee. Licensed in Tennessee. Registered with an NPI since 2006.

Licensed in
TN
In the registry since
2006
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

700 Nuckolls Rd
Bolivar, TN 38008-1531
Phone: (731) 658-4707
Fax: (731) 658-4769
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Skilled Nursing Facility (primary) Taxonomy 314000000X · Licence 171 (TN)

Record details

NPI number1316018286
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Stacey Rogers — Chief Financial Officer · (502) 429-8062
Other names Pine Meadows Healthcare; Pine Meadows Healthcare And Rehabilitation Center
NPI enumeratedNovember 13, 2006
Last updated in NPPESApril 13, 2020
Certification dateApril 13, 2020
Mailing address7400 New La Grange Rd, Suite #100, Louisville, KY 40222-4870

Clinicians affiliated with this facility

Clinicians the CMS Facility Affiliation file lists at this facility.

Other providers in Bolivar