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CHRISTIAN CARE CENTER OF BOLIVAR LLC
NPI 1972181998
Skilled Nursing Facility in Bolivar, TN

Active since March 31, 2021CLIA 44D2228167 · Waiver
4/5
Overall Rating
10160 HIGHWAY 64W, BOLIVAR, TN 38008(423) 975-5455(423) 390-0743 Get Directions Write a Review

NPPES record last updated: January 31, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jan 31, 2022, Mar 31, 2021 (2 updates tracked since 2021).

About Christian Care Center Of Bolivar Llc NPPES

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

CHRISTIAN CARE CENTER OF BOLIVAR LLC (NPI 1972181998) is a healthcare organization registered as a skilled nursing facility in Bolivar, Tennessee and active in the NPI registry since March 2021. The organization holds a CLIA Waiver certificate valid through June 22, 2027 and lists Lisa M Cawood Gray, Delegated Official, Registrations O, as its authorized official.

NPPES Registry Identity

NPI1972181998
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameCHRISTIAN CARE CENTER OF BOLIVAR LLC
Location Address10160 HIGHWAY 64WBolivar, TN 38008
Mailing Address2020 Northpark Dr Ste 2dJohnson City, TN 37604-3127 · (423) 975-5455 · Fax (423) 390-0743
Phone(423) 975-5455
Fax(423) 390-0743
Organization SubpartNo
Authorized OfficialLisa M Cawood GrayDelegated Official, Registrations O · (423) 557-6116
Enumeration DateMarch 31, 2021
Last NPPES UpdateJanuary 31, 20222 updates tracked since enumeration
NPPES CertifiedJanuary 31, 2022
✔ NPI 1972181998 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ 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.
Also ListedNursing Facility/Intermediate Care FacilityTaxonomy 313M00000X
10160 HIGHWAY 64W, Bolivar, TN 38008
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Magnolia Health and more.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 44D2228167

Christian Care Center Of Bolivar · Bolivar, TN
Active · expires Jun 22, 2027
CLIA Number44D2228167
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateJune 23, 2025
Certificate Expiration DateJune 22, 2027
Laboratory DirectorAngela Hill
Laboratory Phone(731) 212-4822
Laboratory LocationChristian Care Center Of Bolivar10160 Highway 64W, 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 Christian Care Center Of Bolivar, LLC (CMS certification number 445537), from CMS Care Compare.

Christian Care Center Of Bolivar, LLC

Nursing home · Bolivar, TN
4/5 CMS Overall Rating
OwnershipFor profit - Limited Liability company
CMS Certification Number445537
Certified Beds67 beds63 residents per day on average
Medicare & Medicaid Participant SinceOctober 12, 2021
Resident & Family CouncilResident council
Automatic sprinkler system

CMS Star Ratings

Quality Measures
Based on a select set of clinical quality measures.
2/5
Long-Stay Quality
Quality of care delivered to long-term residents.
1/5
Short-Stay Quality
Quality of care delivered to short-term and rehabilitation residents.
3/5
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.
11.33
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 1.93 · LPN 1.02 · RN 0.46
3.41 hrs per resident per day
Weekend Nurse Staffing
2.98 hrs per resident per day
Physical Therapist Staffing
0.03 hrs per resident per day
Nursing Staff Turnover
Share of nursing staff who left the facility within the past year.
53.1%
Registered Nurse Turnover
42.9%
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.

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 Christian Care Center Of Bolivar LLC's NPI number?

The NPI number for Christian Care Center Of Bolivar LLC is 1972181998. It was assigned to this organization in the NPPES registry on March 31, 2021.

Where is Christian Care Center Of Bolivar LLC located?

Christian Care Center Of Bolivar LLC is located at 10160 Highway 64W, Bolivar, TN 38008. The listed phone number is (423) 975-5455.

What is Christian Care Center Of Bolivar LLC's specialty?

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

Does Christian Care Center Of Bolivar LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 44D2228167) is associated with this NPI, valid through June 22, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

Is Christian Care Center Of Bolivar LLC a Medicare-certified nursing home?

Yes. Christian Care Center Of Bolivar, LLC is a Medicare-certified nursing home with 67 certified beds.

What quality rating does Christian Care Center Of Bolivar LLC have?

CMS rates Christian Care Center Of Bolivar, LLC 4 out of 5 stars overall on Care Compare. The full measure detail is in the Nursing Home Quality Ratings section above.

What insurance does Christian Care Center Of Bolivar LLC accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Magnolia Health, Ambetter of Alabama and Ambetter of North Carolina and 3 other insurers list Christian Care Center Of Bolivar 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 Christian Care Center Of Bolivar LLC was last updated on January 31, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.