Vibra Specialty Hospital of Dallas, LLC

Primary specialty

Long Term Care HospitalTaxonomy code 282E00000X

License

008391 Issued in TX

Legal business name

VIBRA SPECIALTY HOSPITAL OF DALLAS, LLC

Doing business as

Vibra Specialty Hospital

Practice address

2700 Walker Way
Desoto, TX 75115-2088

Phone

(214) 638-1500

Fax

(214) 638-4545

NPI assigned

May 22, 2006

Organization subpart

No

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

Addresses

Other identifiers 1

Other names 1

• Vibra Specialty Hospital Doing business as

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

{
    "created_epoch": "1148256000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1697068800000",
    "number": "1477507432",
    "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": "2700 WALKER WAY",
            "city": "DESOTO",
            "state": "TX",
            "postal_code": "751152088",
            "telephone_number": "214-638-1500",
            "fax_number": "214-638-4545"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIBRA SPECIALTY HOSPITAL OF DALLAS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-22",
        "last_updated": "2023-10-12",
        "certification_date": "2020-07-02",
        "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": "TX",
            "license": "008391",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1979767-01",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Vibra Specialty Hospital",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Vibra Specialty Hospital",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kochuparampil Thomas Varghese, MD
• Paloma Vela, COTA
• Rogelio Manuel Velazquez, LPC
• Srividya Venkataraman, MD
• Jorden Mory Venturina, RN, BSN
• Victoria N. Agbaroji
• Village Circle Home Care LLC
• Village Connect
• Laquita Vining, LPC
• Alexis Neriah Viray-Edwards, APRN, FNP-C

• Long Term Care Hospital in Desoto, TX
• Providers in Desoto, TX by specialty
• Long Term Care Hospital in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2023; 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.