NPIMap

Organization Active NPI

Vibra Hospital of Sacramento LLC

  • Long Term Care Hospital
  • Folsom, CA
National Provider Identifier
1134564693
Registry record updated Oct 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care HospitalTaxonomy code 282E00000X
Legal business name
VIBRA HOSPITAL OF SACRAMENTO LLC
Practice address
330 Montrose Dr
Folsom, CA 95630-2720
Phone
(916) 351-9151
Fax
(916) 351-0705
NPI assigned
May 9, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 12, 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 CA Primary

Addresses

Primary practice location

330 Montrose Dr
Folsom, CA 95630-2720

Mailing address

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

Other identifiers 1

IdentifierTypeStateIssuer
1134564693MedicaidCA

Other names 1

  • Vibra Hospital of Sacramento Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130812000189 CA Part A Provider - Hospital 6608018205 Practice locations: Folsom, CA

Hospital certification: CCN 052033

Legal name
VIBRA HOSPITAL OF SACRAMENTO LLC
Doing business as
VIBRA HOSPITAL OF SACRAMENTO
Certification status
Active
Provider type (POS)
Hospital – Long-term
Participating since
Mar 4, 1992
Last certification
Aug 28, 2025
Beds
58
Ownership / control type
Private (for profit)
Most recent change of ownership
Sep 1, 2013 (3 total)
Organization structure
LLCProprietary
Incorporated
Apr 25, 2013 in DE
Enrollment address
330 Montrose Dr
Folsom, CA 95630-2720
Other Hospital Practice Location
Hospital subgroups
Long-term

Care Compare: Long-term care hospital

Medicare Care Compare
Listed as
Vibra Hospital of SacramentoCCN 052033
Ownership
For profit
Certified
Mar 4, 1992
Medicare certification status
ActiveFrom the Provider of Services file
Beds
58

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D0708161Vibra Hospital of Sacramento330 Montrose Dr, Folsom, CA 95630AccreditationNov 16, 2027

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 9

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

NameRoleSinceShare
Varun Chauhan Individual W-2 Managing EmployeeChief Executive Officer Sep 16, 2019
Kelly M Hollinger Individual Corporate OfficerVice President Mar 1, 2020
Vibra Management, LLC Organization, Mechanicsburg, PA LLC, For-profit Other Sep 1, 2013
MPT of Sacramento Vibra LP Organization, Birmingham, AL LLC, Investment firm, For-profit 5% Or Greater Security Interest Aug 30, 2019 100%
Other Aug 30, 2019
Credit Suisse Ag Organization, New York, NY LLC, Financial institution, For-profit 5% Or Greater Security Interest Jul 22, 2020 100%
David E Hauck Individual Corporate OfficerTreasurer Oct 4, 2018
Vibra Healthcare II, LLC Organization, Mechanicsburg, PA LLC, Holding company, For-profit 5% Or Greater Indirect Ownership Interest Sep 1, 2013 100%
Trisha J Niemuth Individual Corporate OfficerVP/Sec Jan 1, 2022
Brad E Hollinger Individual 5% Or Greater Indirect Ownership Interest Sep 1, 2013 77%
Corporate OfficerPresident Sep 1, 2013

Facilities with the same owner 4

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

Practitioners & affiliated clinicians

Affiliated clinicians 13

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

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1368057600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1697068800000",
    "number": "1134564693",
    "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": "330 MONTROSE DR",
            "city": "FOLSOM",
            "state": "CA",
            "postal_code": "956302720",
            "telephone_number": "916-351-9151",
            "fax_number": "916-351-0705"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIBRA HOSPITAL OF SACRAMENTO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-09",
        "last_updated": "2023-10-12",
        "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": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1134564693",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Vibra Hospital of Sacramento",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Vibra Hospital of Sacramento",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Folsom, CA

Sources for this page

Verify at the official NPI Registry.