Active NPI
Bolivar Health & Rehabilitation LLC
- Skilled Nursing Facility
- Bolivar, TN
National Provider Identifier
1912896234
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- Legal business name
- BOLIVAR HEALTH & REHABILITATION LLC
- Practice address
- 10160 Highway 64
Bolivar, TN 38008-4235 - Phone
- (731) 212-4822
- NPI assigned
- Jul 1, 2025
- Last updated
- Jul 1, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- John Sheehan
- Title
- President
- Phone
- (423) 618-1488
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | Primary |
Addresses
Primary practice location
10160 Highway 64
Bolivar, TN 38008-4235
Mailing address
3915 Adkisson Dr NW
Cleveland, TN 37312-2821
Phone (423) 641-5510
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 44D2328962 | Bolivar Health & Rehabilitation LLC | Certificate of waiver | Aug 19, 2027 |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1751328000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1751328000000",
"number": "1912896234",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3915 ADKISSON DR NW",
"city": "CLEVELAND",
"state": "TN",
"postal_code": "373122821",
"telephone_number": "423-641-5510"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10160 HIGHWAY 64",
"city": "BOLIVAR",
"state": "TN",
"postal_code": "380084235",
"telephone_number": "731-212-4822"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BOLIVAR HEALTH & REHABILITATION LLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-07-01",
"last_updated": "2025-07-01",
"certification_date": "2025-07-01",
"status": "A",
"authorized_official_last_name": "SHEEHAN",
"authorized_official_first_name": "JOHN",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "423-618-1488"
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bolivar, TN
- Bolivar General Hospital Pharmacy (Bolivar General Hospital)
- Bolivar General Hospital, Inc. (Bolivar ER)
- Bolivar General Hospital, Inc. (West Tennessee Healthcare Bolivar Hospital)
- Bolivar General Hospital, Inc. (West Tennessee Medical Group Primary Care Bolivar)
- Bolivar General Hospital, Inc. (West Tennessee Healthcare Bolivar Hospital)
- Bolivar Medical Clinic
- Bolivar Operator LLC (Pine Meadows Healthcare)
- Ethel Annette Bowker, RNES
- Lafonda Boyd, BLS
- Mary Brinkley, C.O.T.A.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.