Bolivar Operator LLC
NPI 1316018286ActiveOrganization· Skilled Nursing Facility· Bolivar, TN
Skilled Nursing Facility in Bolivar, Tennessee, registered in NPPES in November 2006. The authorized official on file is Stacey Paul Rogers, Chief Financial Officer. Enrolled in Medicare as part a provider - skilled nursing facility.
Overview
| NPI | 1316018286 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Nov 13, 2006 |
| Last updated in NPPES | Apr 13, 2020 |
| Certified by provider | Apr 13, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Skilled Nursing Facility Primary | 314000000X | 171 | TN |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part A Provider - Skilled Nursing Facility (TN) |
|---|
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