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Bolivar Operator LLC

Bolivar Operator LLC is a healthcare organization registered as Skilled Nursing Facility in Bolivar, TN, holding Type 2 (organization) NPI 1316018286 since 2006. The authorized official on file is Stacey Rogers, Chief Financial Officer.

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NPI 1316018286
Entity type Organization (Type 2)
Legal business name Bolivar Operator LLC
Other name <Unavail>
Practice address 700 NUCKOLLS RD, Bolivar, TN, 38008
Phone 7316584707
Fax 7316584769
Enumeration date 2006-11-13
Last updated in NPPES 2020-04-13

Authorized official

Name Stacey Rogers
Title Chief Financial Officer
Phone 5024298062

Taxonomy & classification

Taxonomy code Specialty Primary License State
314000000X Skilled Nursing Facility Primary 171 TN
Copy-ready billing details
Provider: Bolivar Operator LLC
NPI: 1316018286
Taxonomy: 314000000X (Skilled Nursing Facility)
Address: 700 NUCKOLLS RD, Bolivar, TN, 38008

Providers at this address

NPI Name Type Specialty Location
1437305836 Yolanda Roszell Individual Physical Therapy Assistant Bolivar, TN
1497902332 Rodrick Anderson Individual Occupational Therapist Bolivar, TN
1578710380 Leslie Parnell Individual Physical Therapy Assistant Bolivar, TN
1134376957 Mary Brinkley Individual Occupational Therapy Assistant Bolivar, TN
1174770671 Angela Farr Individual Speech-Language Pathologist Bolivar, TN
1396993762 Deanna Lunsford Individual Speech-Language Pathologist Bolivar, TN
1457713133 Jennifer Mcbride Individual Occupational Therapist Bolivar, TN
1336875038 Mary Bufford Individual Social Worker Bolivar, TN

Verify this record

Cross-check NPI 1316018286 against the authoritative CMS record: view Bolivar Operator LLC on the official NPPES registry .

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.

Frequently asked questions

What is a Type 2 NPI?
A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.
What type of organization is Bolivar Operator LLC?
Bolivar Operator LLC is registered in NPPES as a Skilled Nursing Facility (its primary provider taxonomy).

Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2020-04-13.