8451 Pearl Street Operating Company, LLC

Primary specialty

Long Term Care HospitalTaxonomy code 282E00000X

License

010427 Issued in CO

Legal business name

8451 PEARL STREET OPERATING COMPANY, LLC

Doing business as

Vibra Long Term Acute Care Hospital

Practice address

8451 Pearl St
Thornton, CO 80229-4804

Phone

(303) 288-3000

Fax

(303) 286-1253

NPI assigned

Jun 12, 2006

Last updated

Nov 25, 2008By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Brad Hollinger

Title

President/Ceo

Phone

(717) 591-5700

Specialties & licenses 1

Addresses

Other identifiers 4

Other names 1

• Vibra Long Term Acute Care Hospital Doing business as

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1150070400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1227571200000",
    "number": "1013959857",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4550 LENA DR",
            "city": "MECHANICSBURG",
            "state": "PA",
            "postal_code": "170554922",
            "telephone_number": "717-591-5709",
            "fax_number": "717-591-5710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8451 PEARL ST",
            "city": "THORNTON",
            "state": "CO",
            "postal_code": "802294804",
            "telephone_number": "303-288-3000",
            "fax_number": "303-286-1253"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "8451 PEARL STREET OPERATING COMPANY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-12",
        "last_updated": "2008-11-25",
        "status": "A",
        "authorized_official_last_name": "HOLLINGER",
        "authorized_official_first_name": "BRAD",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "717-591-5700",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "282E00000X",
            "taxonomy_group": "",
            "desc": "Long Term Care Hospital",
            "state": "CO",
            "license": "010427",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "69585041",
            "state": "CO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "58404015",
            "state": "NM"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "119348103",
            "state": "WY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "119348102",
            "state": "WY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Vibra Long Term Acute Care Hospital",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Long Term Care Hospital in Thornton, CO
• Providers in Thornton, CO by specialty
• Long Term Care Hospital in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.