Organization Active NPI

Northern California Rehabilitation Hospital, LLC

  • Skilled Nursing Facility
  • Redding, CA
National Provider Identifier
1770524928
Registry record updated Oct 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
230000191 Issued in CA
Legal business name
NORTHERN CALIFORNIA REHABILITATION HOSPITAL, LLC
Practice address
2801 Eureka Way
Redding, CA 96001-0222
Phone
(530) 246-9000
Fax
(530) 246-2780
NPI assigned
Jun 9, 2006
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
Skilled Nursing Facility 314000000X 230000191 CA Primary

Addresses

Primary practice location

2801 Eureka Way
Redding, CA 96001-0222

Mailing address

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

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20081020000118 CA Part A Provider - Skilled Nursing Facility 2466483052 Practice locations: Redding, CA

Skilled nursing facility certification: CCN 555588

Legal name
NORTHERN CALIFORNIA REHABILITATION HOSPITAL LLC
Doing business as
VIBRA HOSPITAL OF NORTHERN CALIFORNIA
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Feb 3, 1994
Last certification
May 23, 2025
Beds
32
Ownership / control type
Corporation
Multi-facility organization
Vibra Healthcare
Most recent change of ownership
Jun 30, 2005
Organization structure
LLCProprietary
Incorporated
Jun 10, 2005 in DE
Enrollment address
2801 Eureka Way
Redding, CA 96001-0222
Nursing home name
VIBRA HOSPITAL OF NORTHERN CALIFORNIA D/P SNF
Affiliated entity
VIBRA HEALTHCARE

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Care Compare: Nursing home

Medicare Care Compare
Listed as
Vibra Hospital of Northern California D/P SNFCCN 555588
Overall star rating
5 of 5
Health inspections
4 of 5
Staffing
4 of 5
Quality measures
5 of 5
Type
Medicare and Medicaid
Ownership
For profit - Corporation
Certified
Feb 3, 1994
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
3226.4 residents per day on average
Chain
Vibra Healthcare3 facilities in the chain

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 17

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

NameRoleSinceShare
Emily F Defillipo Individual W-2 Managing EmployeeCeo May 18, 2020
James a Diebold Individual 5% Or Greater Indirect Ownership Interest Jan 1, 2009 8.6%
Kelly M Hollinger Individual Corporate OfficerVice President Mar 1, 2020
Vibra Management, LLC Organization, Mechanicsburg, PA Operational/Managerial Control Oct 15, 2008
Sheba Ceniza-Saelee Individual W-2 Managing Employee Jun 2, 2014
Credit Suisse Ag Organization, New York, NY Corporation, Investment firm 5% Or Greater Security Interest Jul 22, 2020 72.5%
David E Hauck Individual Corporate OfficerTreasurer Oct 4, 2018
Shasta Regional Medical Center, LLC Organization, Redding, CA For-profit Other Jan 28, 2015
Vibra Re Redding LLC Organization, Redding, CA LLC, For-profit 5% Or Greater Security Interest Jun 4, 2018
Clint T Fegan Individual Corporate OfficerSecretary/Treasurer Jun 24, 2005
Hollinger Holding Company LLC Organization, Mechanicsburg, PA For-profit 5% Or Greater Indirect Ownership Interest Jan 28, 2015 86%
Lisa Stevens Individual W-2 Managing Employee Oct 20, 2008
Francis D Carr Individual 5% Or Greater Indirect Ownership Interest Jan 1, 2009 6.02%
Trisha J Niemuth Individual Corporate OfficerVP/Sec Jan 1, 2022
Vibra Healthcare, LLC Organization, Mechanicsburg, PA 5% Or Greater Indirect Ownership Interest Jun 30, 2005 100%
Brad E Hollinger Individual 5% Or Greater Indirect Ownership Interest Jun 30, 2005 71.38%
Corporate Officer Jun 24, 2005
Midcap Funding IV Trust Organization, Bethesda, MD Financial institution 5% Or Greater Security Interest Jan 28, 2015

Facilities with the same owner 8

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

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Affiliated clinicians 6

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": "1149811200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1696896000000",
    "number": "1770524928",
    "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": "2801 EUREKA WAY",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960010222",
            "telephone_number": "530-246-9000",
            "fax_number": "530-246-2780"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHERN CALIFORNIA REHABILITATION HOSPITAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-09",
        "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": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "CA",
            "license": "230000191",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Redding, CA

Sources for this page

Verify at the official NPI Registry.