BOLIVAR HEALTH AND REHABILIATION CENTER
NPI 1770602435
Skilled Nursing Facility in Cleveland, MS

Active since March 27, 2007
200 N MARTIN LUTHER KING DR, CLEVELAND, MS 38732(662) 843-5347 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Bolivar Health And Rehabiliation Center NPPES

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

BOLIVAR HEALTH AND REHABILIATION CENTER (NPI 1770602435) is a healthcare organization registered as a skilled nursing facility in Cleveland, Mississippi and active in the NPI registry since March 2007. The organization lists Sherry Davis, Administator, as its authorized official.

NPPES Registry Identity

NPI1770602435
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameDYNAMIC CLEVELAND OPERATING COMPANY LLC
Location Address200 N MARTIN LUTHER KING DRCleveland, MS 38732-2821
Mailing Address200 N Martin Luther King DrCleveland, MS 38732-2821 · (662) 843-5347
Organization SubpartNo
Authorized OfficialSherry DavisAdministator · (662) 843-5347
Enumeration DateMarch 27, 2007
Last NPPES UpdateAugust 22, 2020
NPI 1770602435 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySkilled Nursing FacilityNursing & Custodial Care Facilities
Taxonomy Code314000000X
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.
200 N MARTIN LUTHER KING DR, Cleveland, MS 38732

Other Names 1

Doing Business AsBolivar Health And Rehabiliation Center

Other Identifiers 1

Medicaid00230065MS

Other Providers at the Same Location NPPES 4

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

Physical Therapist
200 N MARTIN LUTHER KING DR
CLEVELAND, MS 38732
Skilled Nursing Facility
200 N MARTIN LUTHER KING DR
CLEVELAND, MS 38732
Occupational Therapist
200 N MARTIN LUTHER KING DR
CLEVELAND, MS 38732
Skilled Nursing Facility
200 N MARTIN LUTHER KING DR
CLEVELAND, MS 38732

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 Dynamic Cleveland Operating Company LLC's NPI number?

The NPI number for Dynamic Cleveland Operating Company LLC is 1770602435. It was assigned to this organization in the NPPES registry on March 27, 2007. The provider is doing business as Bolivar Health And Rehabiliation Center.

Where is Dynamic Cleveland Operating Company LLC located?

Dynamic Cleveland Operating Company LLC is located at 200 N Martin Luther King Dr, Cleveland, MS 38732. The listed phone number is (662) 843-5347.

What is Dynamic Cleveland Operating Company LLC's specialty?

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

When was this NPI record last updated?

The NPPES record for Dynamic Cleveland Operating Company LLC was last updated on August 22, 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.