CCN 445232
PINE MEADOWS HEALTH CARE
700 NUCKOLLS ROAD PO BOX A, BOLIVAR, TN 38008 · 7316584707 · All TN facilities
For profit - Corporation
- Ownership type
- For profit - Corporation
- Certified beds
- 134
- Average residents per day
- 99.3
- Provider type
- Medicare and Medicaid
- In a hospital
- N
- Abuse icon
- N
- Special focus status
- –
- First certified
- 1989-09-06
- Chain
- PRESTIGE ADMINISTRATIVE SERVICES
- Legal business name
- BOLIVAR OPERATOR LLC
Header facts: Provider Information · file NH_ProviderInfo_Aug2026.csv · CMS dataset 4pq5-n9py · last modified 2026-08-01 · shown unmodified
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