NPIMap

Organization Active NPI

7173 North Sharon Avenue Operating Company, LLC

  • Rehabilitation Hospital
  • Fresno, CA
National Provider Identifier
1831144716
Registry record updated Oct 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation HospitalTaxonomy code 283X00000X
License
040000280 Issued in CA
Legal business name
7173 NORTH SHARON AVENUE OPERATING COMPANY, LLC
Practice address
7173 N Sharon Ave
Fresno, CA 93720-3329
Phone
(559) 436-3600
Fax
(559) 436-3606
NPI assigned
May 23, 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
Rehabilitation Hospital 283X00000X 040000280 CA Primary

Addresses

Primary practice location

7173 N Sharon Ave
Fresno, CA 93720-3329

Mailing address

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

Other identifiers 2

IdentifierTypeStateIssuer
HSP43032GMedicaidCA
HSC33032GMedicaidCA

Other names 1

  • San Joaquin Valley Rehabilitation Hospital Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080205000557 CA Part A Provider - Hospital 5395655377 Practice locations: Oakhurst, CA; Fresno, CA; Clovis, CA

Hospital certification: CCN 053032

Legal name
7173 NORTH SHARON AVENUE OPERATING COMPANY, LLC
Doing business as
SAN JOAQUIN VALLEY REHABILITATION HOSPITAL
Certification status
Active
Provider type (POS)
Hospital – Rehabilitation
Participating since
Feb 15, 1991
Last certification
Nov 20, 2025
Beds
62
Ownership / control type
Private (for profit)
Most recent change of ownership
Jul 1, 2003 (1 total)
Organization structure
LLCProprietary
Enrollment address
7173 N Sharon Ave
Fresno, CA 93720-3329
Main/Primary Hospital Location
Hospital subgroups
Rehabilitation

Care Compare: Inpatient rehabilitation facility

Medicare Care Compare
Listed as
San Joaquin Valley Rehabilitation HospCCN 053032
Ownership
For profit
Certified
Feb 15, 1991
Medicare certification status
ActiveFrom the Provider of Services file

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
05D0643573San Joaquin Valley Rehabilitation Hospital7173 N Sharon Ave, Fresno, CA 93720AccreditationNov 30, 2027

National Provider Directory

National Provider Directory

Locations

1315 Shaw Ave
Ste 102
Clovis, CA 93612
Phone (315) 350-8795

7033 N Fresno St
Ste 101
Fresno, CA 93720
Phone (559) 431-2635

40232 Junction Dr
Oakhurst, CA 93644
Phone (559) 449-5010

2711 Cinema Way
#103
Selma, CA 93662
Phone (559) 257-5970

Ownership & related parties

All disclosed owners & managing parties 13

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

NameRoleSinceShare
Margaret E Mueller Individual W-2 Managing EmployeeClinical Nurse Officer Jun 3, 2013
Mary J Jacobson Individual W-2 Managing EmployeeCeo Aug 20, 2012
Michael L Thomas Individual Corporate OfficerVP Jun 1, 2015
Vibra Holdings One LLC Organization, Mechanicsburg, PA LLC, Holding company, For-profit Other May 6, 2008
James a Diebold Individual 5% Or Greater Indirect Ownership Interest Jan 1, 2009 8.6%
Vibra Management, LLC Organization, Mechanicsburg, PA LLC, For-profit Operational/Managerial Control May 5, 2005
MPT of Fresno-Vibra LP Organization, Vestavia, AL Created for acquisition, LLC, Investment firm, For-profit 5% Or Greater Security Interest Aug 30, 2019
Other Aug 30, 2019
Clint T Fegan Individual Corporate OfficerSecretary/Treasurer Jul 1, 2004
Hollinger Holding Company LLC Organization, Mechanicsburg, PA LLC, Holding company, For-profit 5% Or Greater Indirect Ownership Interest Jan 1, 2009 86%
Francis D Carr Individual 5% Or Greater Indirect Ownership Interest Jan 1, 2009 6.02%
Vibra Healthcare, LLC Organization, Mechanicsburg, PA LLC 5% Or Greater Direct Ownership Interest Jul 1, 2004 100%
Brad E Hollinger Individual 5% Or Greater Indirect Ownership Interest Jul 1, 2004 71.38%
Corporate OfficerPresident Jul 1, 2004
Midcap Funding IV Trust Organization, Bethesda, MD LLC, Financial institution 5% Or Greater Security Interest Jun 1, 2010

Facilities with the same owner 8

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

Practitioners & affiliated clinicians

Affiliated clinicians 123

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

View all 123

NPI Registry JSON

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

{
    "created_epoch": "1148342400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1696896000000",
    "number": "1831144716",
    "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": "7173 N SHARON AVE",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937203329",
            "telephone_number": "559-436-3600",
            "fax_number": "559-436-3606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "7173 NORTH SHARON AVENUE OPERATING COMPANY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-23",
        "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": "283X00000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Hospital",
            "state": "CA",
            "license": "040000280",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "HSP43032G",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "HSC33032G",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "San Joaquin Valley Rehabilitation Hospital",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "San Joaquin Valley Rehabilitation Hospital",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fresno, CA

Sources for this page

Verify at the official NPI Registry.