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PINE MEADOWS HEALTHCARE AND REHABILITATION CENTER
NPI 1316018286
Skilled Nursing Facility in Bolivar, TN

Active since November 13, 2006CLIA 44D0659298 · Waiver
3/5
Overall Rating
700 NUCKOLLS RD, BOLIVAR, TN 38008(731) 658-4707(731) 658-4769 Get Directions Write a Review

NPPES record last updated: April 13, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 13, 2020, Jan 16, 2019 (2 updates tracked since 2019).

About Pine Meadows Healthcare And Rehabilitation Center NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PINE MEADOWS HEALTHCARE AND REHABILITATION CENTER (NPI 1316018286) is a healthcare organization registered as a skilled nursing facility in Bolivar, Tennessee and active in the NPI registry since November 2006. The organization holds a CLIA Waiver certificate valid through August 31, 2026 and lists Stacey Paul Rogers, Chief Financial Officer, as its authorized official.

NPPES Registry Identity

NPI1316018286
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameBOLIVAR OPERATOR LLC
Location Address700 NUCKOLLS RDBolivar, TN 38008-1531
Mailing Address7400 New La Grange Rd, Suite #100Louisville, KY 40222-4870 · (502) 429-8062 · Fax (502) 429-0650
Phone(731) 658-4707
Fax(731) 658-4769
Organization SubpartNo
Authorized OfficialStacey Paul RogersChief Financial Officer · (502) 429-8062
Enumeration DateNovember 13, 2006
Last NPPES UpdateApril 13, 20202 updates tracked since enumeration
NPPES CertifiedApril 13, 2020
✔ NPI 1316018286 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySkilled Nursing FacilityNursing & Custodial Care Facilities
Taxonomy Code314000000X
License✔ Licensed in TN · 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 services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis.
700 NUCKOLLS RD, Bolivar, TN 38008
Open in Google Maps ↗

Other Names 2

Doing Business AsPine Meadows Healthcare And Rehabilitation Center
Doing Business AsPine Meadows Healthcare

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BlueCross BlueShield of Tennessee, UnitedHealthcare.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 44D0659298

Pine Meadows Healthcare & Rehabilitatn · Bolivar, TN
Active · expires Aug 31, 2026
CLIA Number44D0659298
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorJeannie Falls
Laboratory Phone(901) 658-4707
Laboratory LocationPine Meadows Healthcare & Rehabilitatn700 Nuckolls Road, Bolivar, TN 38008
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Nursing Home Quality Ratings CMS Care Compare

Quality ratings, staffing and inspection history for Pine Meadows Health Care (CMS certification number 445232), from CMS Care Compare.

Pine Meadows Health Care

Nursing home · Bolivar, TN
3/5 CMS Overall Rating
OwnershipFor profit - Corporation
CMS Certification Number445232
Certified Beds134 beds91 residents per day on average
Medicare & Medicaid Participant SinceSeptember 6, 1989
Resident & Family CouncilResident council
Automatic sprinkler system

CMS Star Ratings

Quality Measures
Based on a select set of clinical quality measures.
1/5
Long-Stay Quality
Quality of care delivered to long-term residents.
2/5
Short-Stay Quality
Quality of care delivered to short-term and rehabilitation residents.
1/5
Staffing
Based on nursing staff hours relative to resident needs.
2/5
Weighted Health Inspection Score
Lower scores are better; the score summarizes deficiencies found on recent inspections.
10.67
Ratings are assigned by CMS on a one-to-five star scale; five is the highest. Categories without a current CMS rating are not shown.

Staffing & Turnover

Total Nurse Staffing
nurse aide 2.38 · LPN 0.94 · RN 0.54
3.86 hrs per resident per day
Weekend Nurse Staffing
3.14 hrs per resident per day
Physical Therapist Staffing
0.05 hrs per resident per day
Nursing Staff Turnover
Share of nursing staff who left the facility within the past year.
69.5%
Registered Nurse Turnover
50%
Administrators Who Have Left
In the past year.
0
Higher staffing hours generally allow more direct care time per resident.

Inspections & Enforcement

Facility-Reported Incidents
0
Substantiated Complaints
0
Infection-Control Citations
0
Fines
0
Medicare Payment Denials
0
Total Penalties
0
Counts come from CMS inspections and complaint investigations over approximately the past three years. CMS Care Compare data as of October 1, 2024.

Other Providers at the Same Location NPPES 10

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. MARY BRINKLEY C.O.T.A.
Occupational Therapy Assistant
700 NUCKOLLS RD
BOLIVAR, TN 38008
Hardeman County (731) 658-4707
MRS. ANGELA FARR SLP
Speech-Language Pathologist
700 NUCKOLLS RD
BOLIVAR, TN 38008
Hardeman County (901) 658-4707
MRS. KAYLA JOLLY HOLT FNP-C
Nurse Practitioner (Family)
700 NUCKOLLS RD
BOLIVAR, TN 38008
Hardeman County (731) 394-1145
MARY JEAN BUFFORD LCSW
Social Worker
700 NUCKOLLS RD
BOLIVAR, TN 38008
Hardeman County (732) 797-9375
MRS. DEANNA LUNSFORD CCC-SLP
Speech-Language Pathologist
700 NUCKOLLS RD
BOLIVAR, TN 38008
Hardeman County (731) 658-4707
MRS. YOLANDA CELESTE ROSZELL P.T.A.
Physical Therapy Assistant
700 NUCKOLLS RD
BOLIVAR, TN 38008
Hardeman County (731) 658-4707
MRS. RACHEL ELIZABETH GARRITY M.S., CCC-SLP
Speech-Language Pathologist
700 NUCKOLLS RD
BOLIVAR, TN 38008
Hardeman County (731) 658-4707
JENNIFER DENISE MCBRIDE OT
Occupational Therapist
700 NUCKOLLS RD
BOLIVAR, TN 38008
Hardeman County (731) 658-4707

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Bolivar Operator LLC's NPI number?

The NPI number for Bolivar Operator LLC is 1316018286. It was assigned to this organization in the NPPES registry on November 13, 2006. The provider is doing business as Pine Meadows Healthcare And Rehabilitation Center and Pine Meadows Healthcare.

Where is Bolivar Operator LLC located?

Bolivar Operator LLC is located at 700 Nuckolls Rd, Bolivar, TN 38008. The listed phone number is (731) 658-4707.

What is Bolivar Operator LLC's specialty?

The primary specialty registered for this NPI is Skilled Nursing Facility with taxonomy code 314000000X.

Does Bolivar Operator LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 44D0659298) is associated with this NPI, valid through August 31, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

Is Bolivar Operator LLC a Medicare-certified nursing home?

Yes. Pine Meadows Health Care is a Medicare-certified nursing home with 134 certified beds.

What quality rating does Bolivar Operator LLC have?

CMS rates Pine Meadows Health Care 3 out of 5 stars overall on Care Compare. The full measure detail is in the Nursing Home Quality Ratings section above.

What insurance does Bolivar Operator LLC accept?

Health plans from BlueCross BlueShield of Tennessee and UnitedHealthcare list Bolivar Operator LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Bolivar Operator LLC was last updated on April 13, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.