BOLIVAR HEALTH & REHABILITATION LLC
NPI 1912896234
Skilled Nursing Facility in Bolivar, TN

Active since July 01, 2025CLIA 44D2328962 · Waiver
10160 HIGHWAY 64, BOLIVAR, TN 38008(731) 212-4822 Get Directions Write a Review

NPPES record last updated: July 1, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Bolivar Health & Rehabilitation Llc NPPES

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

BOLIVAR HEALTH & REHABILITATION LLC (NPI 1912896234) is a healthcare organization registered as a skilled nursing facility in Bolivar, Tennessee and active in the NPI registry since July 2025. The organization holds a CLIA Waiver certificate valid through August 19, 2027 and lists John Sheehan, President, as its authorized official.

NPPES Registry Identity

NPI1912896234
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameBOLIVAR HEALTH & REHABILITATION LLC
Location Address10160 HIGHWAY 64Bolivar, TN 38008-4235
Mailing Address3915 Adkisson Dr NwCleveland, TN 37312-2821 · (423) 641-5510
Organization SubpartNo
Authorized OfficialJohn SheehanPresident · (423) 618-1488
Enumeration DateJuly 1, 2025
NPPES CertifiedJuly 1, 2025
NPI 1912896234 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.
10160 HIGHWAY 64, Bolivar, TN 38008

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 44D2328962

Bolivar Health & Rehabilitation LLC · Bolivar, TN
Active · expires Aug 19, 2027
CLIA Number44D2328962
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateAugust 20, 2025
Certificate Expiration DateAugust 19, 2027
Laboratory DirectorAngela Hill
Laboratory Phone(731) 212-4822
Laboratory LocationBolivar Health & Rehabilitation LLC10160 Highway 64, Bolivar, TN 38008
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

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

Physical Therapy Assistant
10160 HIGHWAY 64
BOLIVAR, TN 38008
Occupational Therapist
10160 HIGHWAY 64
BOLIVAR, TN 38008

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 Health & Rehabilitation LLC's NPI number?

The NPI number for Bolivar Health & Rehabilitation LLC is 1912896234. It was assigned to this organization in the NPPES registry on July 1, 2025.

Where is Bolivar Health & Rehabilitation LLC located?

Bolivar Health & Rehabilitation LLC is located at 10160 Highway 64, Bolivar, TN 38008. The listed phone number is (731) 212-4822.

What is Bolivar Health & Rehabilitation LLC's specialty?

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

Does Bolivar Health & Rehabilitation LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 44D2328962) is associated with this NPI, valid through August 19, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Bolivar Health & Rehabilitation LLC was last updated on July 1, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months 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.