NPIMap

Organization Active NPI

Vibra Hospital of Denver LLC

Doing business as Vibra Hospital of Denver

  • Long Term Care Hospital
  • Thornton, CO
National Provider Identifier
1124402854
Registry record updated Oct 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care HospitalTaxonomy code 282E00000X
License
010427 Issued in CO
Legal business name
VIBRA HOSPITAL OF DENVER LLC
Doing business as
Vibra Hospital of Denver
Practice address
8451 Pearl St
Thornton, CO 80229-4804
Phone
(303) 288-3000
NPI assigned
Jul 13, 2015
Last updated
Oct 10, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2023

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

Authorized official

Name
Mr. Brad Eugene Hollinger
Title
President
Phone
(717) 591-5700

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Long Term Care Hospital 282E00000X 010427 CO Primary

Addresses

Primary practice location

8451 Pearl St
Thornton, CO 80229-4804

Mailing address

PO Box 26657
Fresno, CA 93729-6657
Phone (559) 892-2500

Other names 1

  • Vibra Hospital of Denver Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150930000021 CO Part A Provider - Hospital 6709194400 Practice locations: Thornton, CO

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1124402854. Details of each certification follow.

Hospital certification: CCN 062014

Legal name
VIBRA HOSPITAL OF DENVER LLC
Doing business as
VIBRA HOSPITAL OF DENVER
Certification status
Active
Provider type (POS)
Hospital – Long-term
Participating since
Jan 1, 1999
Last certification
Nov 2, 2023
Beds
54
Ownership / control type
Private (for profit)
Most recent change of ownership
Sep 4, 2015 (2 total)
Organization structure
LLCProprietary
Incorporated
Jun 16, 2015 in DE
Enrollment address
8451 Pearl St
Thornton, CO 80229-4804
Main/Primary Hospital Location
Hospital subgroups
Long-term

Care Compare: Long-term care hospital

Medicare Care Compare
Listed as
Vibra Hospital of DenverCCN 062014 · All quality measures
Ownership
For profit
Certified
Jan 1, 1999
Medicare certification status
ActiveFrom the Provider of Services file
Beds
54

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Ownership & related parties

All disclosed owners & managing parties 15

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Marc a Masotti Individual Corporate DirectorBoard Member May 1, 2022
Demetrius Lamar McBride Individual Corporate DirectorCeo Jan 1, 2019
W-2 Managing EmployeeCeo Jan 1, 2019
Kelly M Hollinger Individual Corporate OfficerVP Mar 1, 2020
Vibra Management, LLC Organization, Mechanicsburg, PA LLC, Management services company, For-profit Operational/Managerial Control Sep 4, 2015
Credit Suisse Ag Organization, New York, NY Corporation, Financial institution, For-profit 5% Or Greater Security Interest Jul 22, 2020 70.5%
Hollinger Holding Company LLC Organization, Mechanicsburg, PA LLC, Holding company, For-profit 5% Or Greater Indirect Ownership Interest Sep 4, 2015 43.86%
Leigh Eckley Individual Corporate DirectorChief Revenue and Operations Off May 6, 2024
8451 Pearl Street Operating Company, LLC Organization, Mechanicsburg, PA LLC, For-profit 5% Or Greater Direct Ownership Interest Sep 4, 2015 51%
Kevin Cullinan Individual Corporate Director Aug 27, 2021
Chelsea Foster Individual Corporate DirectorBoard Member Jul 10, 2022
Vibra Healthcare, LLC Organization, Mechanicsburg, PA LLC, For-profit 5% Or Greater Indirect Ownership Interest Sep 4, 2015 51%
Brad E Hollinger Individual 5% Or Greater Indirect Ownership Interest Sep 1, 2015 36.4%
Corporate OfficerPresident Jun 16, 2015
Catholic Health Initiatives Colorado Organization, Lakewood, CO Corporation, Non-profit 5% Or Greater Direct Ownership Interest Jul 1, 2017 49%
Jean Dimicco Individual Corporate DirectorDirector of Quality & Risk Manag Jul 10, 2022
HC-8451 Pearl Street LLC Organization, Tampa, FL Created for acquisition, LLC, Investment firm, For-profit 5% Or Greater Security Interest Sep 1, 2015 100%
Other Sep 28, 2012

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Facilities with the same owner 9

Facilities that share an organizational owner with 5% or greater ownership or operational control.

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

Affiliated clinicians 5

Clinicians who list this facility as an affiliation in Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1436745600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1696896000000",
    "number": "1124402854",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 26657",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937296657",
            "telephone_number": "559-892-2500",
            "fax_number": "559-892-2444"
        },
        {
            "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"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIBRA HOSPITAL OF DENVER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-13",
        "last_updated": "2023-10-10",
        "status": "A",
        "authorized_official_last_name": "HOLLINGER",
        "authorized_official_first_name": "BRAD",
        "authorized_official_middle_name": "EUGENE",
        "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": "CO",
            "license": "010427",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Vibra Hospital of Denver",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Vibra Hospital of Denver",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Thornton, CO

Sources for this page

Verify at the official NPI Registry.