Vibra Hospital of Peoria LLC

Primary specialty

Long Term Care HospitalTaxonomy code 282E00000X

Legal business name

VIBRA HOSPITAL OF PEORIA LLC

Doing business as

Vibra Hospital of Peoria

Practice address

500 W Romeo B Garrett Ave
Peoria, IL 61605-2301

Phone

(309) 680-1500

Fax

(309) 680-1486

NPI assigned

May 9, 2013

Last updated

May 9, 2013By 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 E Hollinger

Title

President

Phone

(717) 591-5700

Specialties & licenses 1

Addresses

Other names 1

• Vibra Hospital of Peoria Doing business as

Tax ID family

Denver Regional Rehabilitation Hospital LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Denver Regional Rehabilitation Hospital LLC

  dba Vibra Rehabilitation Hospital of Denver

  • Rehabilitation Hospital
  • Thornton, CO
  • NPI 1407375249
  NPD tax ID

Locations

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

{
    "created_epoch": "1368057600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1368057600000",
    "number": "1104261668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4550 LENA DR",
            "address_2": "SUITE 225",
            "city": "MECHANICSBURG",
            "state": "PA",
            "postal_code": "170554922",
            "telephone_number": "717-591-5700",
            "fax_number": "717-591-2301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 W ROMEO B GARRETT AVE",
            "city": "PEORIA",
            "state": "IL",
            "postal_code": "616052301",
            "telephone_number": "309-680-1500",
            "fax_number": "309-680-1486"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIBRA HOSPITAL OF PEORIA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-09",
        "last_updated": "2013-05-09",
        "status": "A",
        "authorized_official_last_name": "HOLLINGER",
        "authorized_official_first_name": "BRAD",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "717-591-5700",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "282E00000X",
            "taxonomy_group": "",
            "desc": "Long Term Care Hospital",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Vibra Hospital of Peoria",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kaninika Verma, MD
• Vinay Raj Kumar Verma, MBBS
• Wyatt Andrew Verplaetse, MD
• Ta'Niyzia Verser
• Montannah Vetter
• Alain Vilatte
• Ryan Monuai Vining-Caldwell
• Tonya Vining, MD
• Vision Care Center PC
• Isaac Franklin Viss

• Long Term Care Hospital in Peoria, IL
• Providers in Peoria, IL by specialty
• Long Term Care Hospital in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2013; 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.