Active NPI
Mechanicsburg Senior Care LLC
- Skilled Nursing Facility
- Mechanicsburg, PA
National Provider Identifier
1831525179
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- Legal business name
- MECHANICSBURG SENIOR CARE LLC
- Doing business as
- Vibra Rehabilitation Center
- Practice address
- 707 Shepherdstown Rd
Mechanicsburg, PA 17055-4276 - Phone
- (717) 591-2125
- NPI assigned
- Sep 18, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Brad E. Hollinger
- Title
- President
- Phone
- (717) 591-5700
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | PA | Primary |
Addresses
Primary practice location
707 Shepherdstown Rd
Mechanicsburg, PA 17055-4276
Mailing address
4600 Lena Drive
Mechanicsburg, PA 17055-4908
Phone (717) 591-5700
Other names 1
- Vibra Rehabilitation Center
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20131211001117 | PA | Part A Provider - Skilled Nursing Facility | 4789811043 | Practice locations: Mechanicsburg, PA |
Skilled nursing facility certification: CCN 396133
- Legal name
- MECHANICSBURG SENIOR CARE, LLC
- Doing business as
- VIBRA REHABILITATION CENTER
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF (Medicare) only
- Participating since
- Feb 11, 2014
- Last certification
- Sep 19, 2024
- Beds
- 48
- Ownership / control type
- Limited Liability Corporation
- Organization structure
- LLC
- Incorporated
- Oct 26, 2012 in PA
- Enrollment address
- 707 Shepherdstown Rd
Mechanicsburg, PA 17055-4276 - Nursing home name
- VIBRA REHABILITATION CENTER
- Affiliated entity
- VIBRA HEALTHCARE
Care Compare: Nursing home
Medicare Care Compare- Listed as
- Vibra Rehabilitation Center
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare
- Ownership
- For profit - Limited Liability company
- Certified
- Feb 11, 2014
- Medicare certification status
- Active
- Certified beds
- 48
- Chain
- Vibra Healthcare
National Provider Directory
National Provider DirectoryOwnership & related parties
All disclosed owners & managing parties 11
As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|---|---|---|
| Kelly M Hollinger | Corporate Officer | Jan 1, 2023 | 100% |
| David E Hauck | 5% Or Greater Indirect Ownership Interest | Nov 9, 2012 | 12.9% |
| Corporate Officer | Oct 26, 2012 | ||
| Mrec, LLC | 5% Or Greater Indirect Ownership Interest | Nov 9, 2012 | 1% |
| Clint T Fegan | 5% Or Greater Indirect Ownership Interest | Nov 9, 2012 | 5.01% |
| Hollinger Management LLC | Operational/Managerial Control | Jan 1, 2018 | |
| Ralph J Reese | W-2 Managing Employee | Dec 19, 2018 | |
| Paul T Kovacs | 5% Or Greater Indirect Ownership Interest | Nov 9, 2012 | 6.5% |
| Mechanicsburg Senior Care Holdings LP | 5% Or Greater Direct Ownership Interest | Nov 9, 2012 | 100% |
| Mid Penn Bank | 5% Or Greater Security Interest | Nov 9, 2012 | 100% |
| Brad E Hollinger | 5% Or Greater Indirect Ownership Interest | Nov 9, 2012 | 41.19% |
| Corporate Officer | Jan 1, 2023 | 100% | |
| Michael K Beaver | 5% Or Greater Indirect Ownership Interest | Nov 9, 2012 | 13.69% |
Practitioners & affiliated clinicians
Affiliated clinicians 2
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": "1379462400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1512950400000",
"number": "1831525179",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4600 LENA DRIVE",
"city": "MECHANICSBURG",
"state": "PA",
"postal_code": "170554908",
"telephone_number": "717-591-5700",
"fax_number": "717-591-5710"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "707 SHEPHERDSTOWN RD",
"city": "MECHANICSBURG",
"state": "PA",
"postal_code": "170554276",
"telephone_number": "717-591-2125"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MECHANICSBURG SENIOR CARE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2013-09-18",
"last_updated": "2017-12-11",
"status": "A",
"authorized_official_last_name": "HOLLINGER",
"authorized_official_first_name": "BRAD",
"authorized_official_middle_name": "E.",
"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": "PA",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Vibra Rehabilitation Center",
"code": "3",
"type": "Doing Business As"
}
]
}
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- Mechanicsburg Eye Associates LLC
- Mechanicsburg PA Operations LLC
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.