Christian Care Center of Bolivar LLC
NPI 1972181998ActiveOrganization· Skilled Nursing Facility· Bolivar, TN
Skilled Nursing Facility in Bolivar, Tennessee, registered in NPPES in March 2021. The authorized official on file is Lisa M. Cawood Gray, Delegated Official, Registrations O. Enrolled in Medicare as part a provider - skilled nursing facility.
Overview
| NPI | 1972181998 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Mar 31, 2021 |
| Last updated in NPPES | Jan 31, 2022 |
| Certified by provider | Jan 31, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Skilled Nursing Facility Primary | 314000000X | — | — |
| Nursing Facility/Intermediate Care Facility | 313M00000X | — | — |
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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