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BOLIVAR ASSISTED CARE LIVING, LLC
NPI 1982838660
Assisted Living Facility in Bolivar, TN

Active since May 08, 2009
631 NUCKOLLS RD, BOLIVAR, TN 38008(731) 658-3313(731) 658-9889 Get Directions Write a Review

NPPES record last updated: May 8, 2009. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Bolivar Assisted Care Living, Llc NPPES

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

BOLIVAR ASSISTED CARE LIVING, LLC (NPI 1982838660) is a healthcare organization registered as an assisted living facility in Bolivar, Tennessee and active in the NPI registry since May 2009. The organization lists Craig Bradford Laman, Member, as its authorized official.

NPPES Registry Identity

NPI1982838660
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameBOLIVAR ASSISTED CARE LIVING, LLC
Location Address631 NUCKOLLS RDBolivar, TN 38008-1599
Mailing Address15 S Bells St, Suite #3Alamo, TN 38001-1778 · (731) 696-4670 · Fax (731) 696-4672
Phone(731) 658-3313
Fax(731) 658-9889
Organization SubpartNo
Authorized OfficialCraig Bradford LamanMember · (731) 696-4670
Enumeration DateMay 8, 2009
✔ NPI 1982838660 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities
Taxonomy Code310400000X
License✔ Licensed in TN · ACL00000000182
Definition
A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.
631 NUCKOLLS RD, Bolivar, TN 38008
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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 Assisted Care Living, LLC's NPI number?

The NPI number for Bolivar Assisted Care Living, LLC is 1982838660. It was assigned to this organization in the NPPES registry on May 8, 2009.

Where is Bolivar Assisted Care Living, LLC located?

Bolivar Assisted Care Living, LLC is located at 631 Nuckolls Rd, Bolivar, TN 38008. The listed phone number is (731) 658-3313.

What is Bolivar Assisted Care Living, LLC's specialty?

The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.

When was this NPI record last updated?

The NPPES record for Bolivar Assisted Care Living, LLC was last updated on May 8, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.