VIBRA HOSPITAL OF MAHONING VALLEY
NPI 1528203049
Long Term Care Hospital in Boardman, OH
NPI Status: Active since December 12, 2008
Contact Information
8049 SOUTH AVE
BOARDMAN, OH
ZIP 44512
Phone: (330) 726-5021
Fax: (330) 726-5053
- Organization
- Long Term Care Hospital
- CLIA Number: 36D0962425
- CLIA Cert. Type: Hospital
- CLIA Exp. Date: 06-30-2027
About VIBRA HOSPITAL OF MAHONING VALLEY
This page provides the complete NPI Profile along with additional information for Vibra Hospital Of Mahoning Valley, a provider established in Boardman, Ohio operating as a Long Term Care Hospital. The healthcare provider is registered in the NPI registry with number 1528203049 assigned on December 2008. The practitioner's primary taxonomy code is 282E00000X with license number 1428 (OH). The provider is registered as an organization and their NPI record was last updated 8 years ago. The provider's is doing business as Vibra Hospital Of Mahoning Valley. The authorized official of this NPI record is Mr. Clint T. Fegan (Sec/treas)
- NPI
- 1528203049
- Provider Legal Name
- VIBRA HOSPITAL OF MAHONING VALLEY LLC
- Other Organization Name
- VIBRA HOSPITAL OF MAHONING VALLEY
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 8049 SOUTH AVE BOARDMAN, OH 44512
- Location Phone
- (330) 726-5021
- Location Fax
- (330) 726-5053
- Mailing Address
- 5 EAST RIVER PARK PLACE E #460 FRESNO, CA 93720
- Mailing Phone
- (559) 892-2500
- Mailing Fax
- (330) 726-5053
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 12-12-2008
- Last Update Date
- 12-14-2018
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Long Term Care Hospital
- Taxonomy Code
- 282E00000X
- Type
- Hospitals
- License No.
- 1428
- License State
- OH
- Taxonomy Description
- Long-term care hospitals (LTCHs) furnish extended medical and rehabilitative care to individuals who are clinically complex and have multiple acute or chronic conditions.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 282N00000X | Hospitals | General Acute Care Hospital | 1428 (OH) |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1032312470001 | MEDICAID (05) | PA | |
| 3140729 | MEDICAID (05) | OH |
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 36D0962425
- Facility Type
- Hospital
- Certificate Effective Date
- July 01, 2025
- Certificate Expiration Date
- June 30, 2027
- Laboratory Director
- DR. VIVIAN IADEROSA STARR
- Certificate Type
- Certificate of Accreditation
- Certificate Type Description
- This is a CLIA certificate is issued to Vibra Hospital Of Mahoning Valley on the basis of the laboratory's accreditation by an accreditation organization approved by CMS. This type of certificate is issued to a laboratories tha perform nonwaived (moderate and/or high complexity) testing.
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1528203049, we treat the final digit (9) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 61. The final step is to find the difference between that total and the next multiple of ten (70 - 61 = 9).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 61 is 70. The difference is the calculated check digit.
Other Providers at the Same Location
The following 4 providers are registered at the same or a nearby location.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1528203049, enumerated as an "organization" on December 12, 2008.
The provider is located at 8049 SOUTH AVE BOARDMAN, OH 44512 and the phone number is (330) 726-5021.
Long Term Care Hospital with taxonomy code 282E00000X.
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
