Antwerp Manor Assisted Living, LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

ANTWERP MANOR ASSISTED LIVING, LLC

Practice address

204 Archer Dr
Antwerp, OH 45813-8499

Phone

(419) 258-1500

NPI assigned

Feb 6, 2013

Last updated

Nov 19, 2025By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Bryan Casey

Title

Partner

Phone

(740) 350-9095

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1360108800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1763510400000",
    "number": "1003155367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 W MAIN ST STE 200",
            "city": "VAN WERT",
            "state": "OH",
            "postal_code": "458911761",
            "telephone_number": "419-238-0715",
            "fax_number": "419-238-4814"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "204 ARCHER DR",
            "city": "ANTWERP",
            "state": "OH",
            "postal_code": "458138499",
            "telephone_number": "419-258-1500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANTWERP MANOR ASSISTED LIVING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-06",
        "last_updated": "2025-11-19",
        "certification_date": "2025-11-19",
        "status": "A",
        "authorized_official_last_name": "CASEY",
        "authorized_official_first_name": "BRYAN",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "740-350-9095"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ODH",
            "identifier": "2449",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Antwerp Local School
• Antwerp Pharmacy Inc (Antwerp Pharmacy)
• Jan Carrie Boterf
• Jeffrey Michael Boterf
• Community Memorial Hospital (Antwerp Family Health Center)
• Community Memorial Hospital (Antwerp Family Health Center)

• Assisted Living Facility in Antwerp, OH
• Providers in Antwerp, OH by specialty
• Assisted Living Facility in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.