Bolivar Operator Llc in Bolivar - Skilled Nursing Facility
Bolivar Operator Llc - NPI 1316018286
Bolivar Operator Llc is a Skilled Nursing Facility in Bolivar, Tennessee. Bolivar Operator Llc practices all healthcare services and medical treatments related to Skilled Nursing Facility. The NPI Number for Bolivar Operator Llc is 1316018286. The last update date is 2020-04-13.
Bolivar Operator Llc's current location address is 700 Nuckolls Rd, Bolivar, Tennessee. You can contact this provider via phone number 7316584707 and fax number 7316584769. The mailing address for Bolivar Operator Llc is 700 Nuckolls Rd, Bolivar, Tennessee. To know further, please read the information below!
Provider Profile Detail
Provider Organization | Bolivar Operator Llc |
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Address | 700 Nuckolls Rd, Bolivar, Tennessee |
Phone Number | 7316584707 |
Fax Number | 7316584769 |
Sole Proprietor | -- |
Credentials | -- |
Authorized Official
Title or Position | CHIEF FINA |
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Authorized Official Name | Rogers Paul Stacey |
Telephone Number | 5024298062 |
NPI Number Detail
NPI Number | 1316018286 |
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Provider Enumeration Date | 2006-11-13 |
Last Updated Date | 2020-04-13 |
Provider Mailing Address Detail
Address | 700 Nuckolls Rd |
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City | Bolivar |
State | Tennessee (TN) |
Post Code | 380081531 |
Phone Number | 7316584707 |
Fax Number | 7316584769 |
Provider's Primary Taxonomy Detail
Speciality | Skilled Nursing Facility |
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Taxonomy | 314000000X |
Licence No | 171 |
Definition: (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring serv |
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What is the unique 10-digit identifier code issued to Bolivar Operator Llc by the Centers for Medicare & Medicaid Services?
The Bolivar Operator Llc has been assigned the NPI (National Provider Identifier) 1316018286 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please share the complete physical address where Bolivar Operator Llc is geographically located?
The Bolivar Operator Llc is physically situated at the following location: 700 Nuckolls Rd, Bolivar, TN, 380081531.
What is Bolivar Operator Llc's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Bolivar Operator Llc's specialized field of practice is Skilled Nursing Facility, and the corresponding taxonomy code that categorizes this area of specialization is 314000000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1316018286 to Bolivar Operator Llc?
The Centers for Medicare & Medicaid Services assigned the 1316018286 to Bolivar Operator Llc on 2006-11-13.
As of what date was the information pertaining to Bolivar Operator Llc, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Bolivar Operator Llc, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2020-04-13.
NPI Number: 1316940851
Address: 2410 N Glendale Dr Ste A, Fort Wayne, IN