VIBRA HOSPITAL OF CHARLESTON LLC (NPI# 1700227964) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700227964 |
| Entity Type | Organization |
| Organization Name | VIBRA HOSPITAL OF CHARLESTON LLC |
| Other Organization Name | VIBRA HOSPITAL OF CHARLESTON-TCU |
| Practice Address |
1200 Hospital Dr 2nd Floor Mt Pleasant SC 29464-3251 |
| Mailing Address |
8081 Royal Ridge Parkway Suite 130 Irving TX 75063-2840 |
| Practice Telephone | 8433754220 |
| Practice Fax Number | 8438818147 |
| Mailing Telephone | 4897135470 |
| Mailing Fax Number | 4697130480 |
| Enumeration Date | 2013-07-16 |
| Last Update Date | 2018-12-17 |
| Authorized Official Name | MR. CLINT T. FEGAN (SEC/TREAS) |
| Authorized Official Telephone | 7175915700 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | SC | Nursing & Custodial Care Facilities |
| Other Name | Type Code |
|---|---|
| Vibra Hospital of Charleston-TCU | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578904322 | Vibra Hospital of Charleston LLC | Long Term Care Hospital | 1200 Hospital Dr, 3rd Floor, Mt Pleasant, SC 29464-3251 | 2013-07-09 |
| Street Address |
1200 HOSPITAL DR 2ND FLOOR |
| City | MT PLEASANT |
| State | SC |
| Zip Code | 29464-3251 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831670280 | Laura Ellen Boselowitz | Speech-Language Pathologist | 1200 Hospital Dr, Mt Pleasant, SC 29464-3251 | 2018-08-23 |
| 1659712800 | Carolina Independent Id, LLC | Specialist | 1200 Hospital Dr, Mt Pleasant, SC 29464-3251 | 2013-07-16 |
| 1578904322 | Vibra Hospital of Charleston LLC | Long Term Care Hospital | 1200 Hospital Dr, 3rd Floor, Mt Pleasant, SC 29464-3251 | 2013-07-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811548241 | Bradley Paul Anuszkiewicz | Chiropractor | 1501 Johnnie Dodds Blvd, Suite C, Mount Pleasant, SC 29464 | 2019-09-26 |
| 1447808696 | Laura Mariah Crouse | Speech-Language Pathologist | Coastal Therapy Services, 1127 Queensborough Blvd, Mt Pleasant, SC 29464 | 2019-08-30 |
| 1912461807 | Independent Optical | Optometrist | 1710 Shoremead Rd, Suite 420, Mount Pleasant, SC 29464 | 2019-01-25 |
| 1417446204 | Michael Adam Sugarman | Clinical Neuropsychologist | 1459 Stuart Engals Blvd Ste 204a, Mt Pleasant, SC 29464 | 2018-05-07 |
| 1578064192 | Ancillary Specialists LLC | Durable Medical Equipment & Medical Supplies | 636 Long Point Road, Unit G, #19, Mount Pleasant, SC 29464 | 2018-02-28 |
| 1346769015 | Christin Solomon Zerega | Counselor | Lowcountry Psychiatry Group, 913 Bowman Rd, #4, Mount Pleasant, SC 29464 | 2017-09-14 |
| 1336660315 | Charleston Neuropsychology LLC | Psychologist | 1459 Stuart Engals Blvd., Suite 204a, Mount Pleasant, SC 29464 | 2017-06-29 |
| 1790219970 | Adam Hudepohl | Family Medicine | 1400 Ben Sawyer Blvd, Mt Pleasant, SC 29464 | 2017-04-14 |
| 1386181204 | Alicia Taylor | Speech-Language Pathologist | 381 Stonewall Ct Apt 6207, Mount Pleasant, SC 29464 | 2017-01-30 |
| 1285181941 | Tara Lynn Mast | Physical Therapist | 1400 Caliper Oak Circle, Apt 316, Mount Pleasant, SC 29464 | 2016-09-09 |
| Find all providers in zip 29464 | ||||
| Taxonomy Code | 314000000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Skilled Nursing Facility |
| (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis. |
| Notes: Source: (1) "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 64; (2) AHA Guide, 1996 Annual Survey. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356426738 | Savannah Grace Halls Lp | Skilled Nursing Facility | 1010 Lake Hunter Circle, Mt Pleasant, SC 29464-5417 | 2006-10-26 |
| 1588751770 | Thi of Texas At Mount Pleasant II, LLC | Skilled Nursing Facility | 2003 N Edwards Ave, Mt Pleasant, TX 75455-2010 | 2006-10-07 |
| 1023065513 | Tendercare Michigan Inc. | Skilled Nursing Facility | 1524 Portabella Trl, Mt Pleasant, MI 48858-4006 | 2006-05-28 |
| 1649225335 | Laurel Health Care Company of Mt Pleasant | Skilled Nursing Facility | 400 S Crapo St, Mt Pleasant, MI 48858-2944 | 2006-05-23 |
| 1851390421 | Harmon House Care Center, LLC | Skilled Nursing Facility | 601 S Church St, Mt Pleasant, PA 15666-1703 | 2005-07-18 |
| 1508868662 | Isabella County Medical Care | Skilled Nursing Facility | 1222 North Dr, Mt Pleasant, MI 48858-3200 | 2005-06-02 |
| 1346719432 | Mt. Pleasant V Enterprises, LLC | Skilled Nursing Facility | 2530 Greenhill Rd, Mt Pleasant, TX 75455-6744 | 2018-11-19 |
| 1720464563 | Gruenepointe 1 Mt. Pleasant, LLC | Skilled Nursing Facility | 2530 Greenhill Rd, Mt Pleasant, TX 75455-6744 | 2015-08-04 |
| 1780081844 | Mt. Pleasant Opco, LLC | Skilled Nursing Facility | 1524 Portabella Trl, Mt Pleasant, MI 48858-4006 | 2014-12-04 |
| 1851720452 | Fannin County Hospital Authority | Skilled Nursing Facility | 2003 N Edwards Ave, Mt Pleasant, TX 75455-2010 | 2013-11-04 |
| Find all providers in MT PLEASANT | ||||
| City | MT PLEASANT |
| Zip Code | 29464 |
Please comment or provide details below to improve the information on VIBRA HOSPITAL OF CHARLESTON LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.