Active NPI
Vancrest of Upper Sandusky LLC
- Assisted Living Facility
- Upper Sandusky, OH
National Provider Identifier
1134036346
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assisted Living Facility
- Legal business name
- VANCREST OF UPPER SANDUSKY LLC
- Practice address
- 890 Marseilles Ave
Upper Sandusky, OH 43351-1648 - Phone
- (419) 294-4973
- NPI assigned
- Aug 25, 2026
- 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
- Edgar Silalahi
- Title
- Cfo
- Phone
- (567) 712-9002
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assisted Living Facility | 310400000X | Primary |
Addresses
Primary practice location
890 Marseilles Ave
Upper Sandusky, OH 43351-1648
Mailing address
890 Marseilles Ave
Upper Sandusky, OH 43351-1648
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1787616000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1787616000000",
"number": "1134036346",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "890 MARSEILLES AVE",
"city": "UPPER SANDUSKY",
"state": "OH",
"postal_code": "433511648"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "890 MARSEILLES AVE",
"city": "UPPER SANDUSKY",
"state": "OH",
"postal_code": "433511648",
"telephone_number": "419-294-4973"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VANCREST OF UPPER SANDUSKY LLC",
"organizational_subpart": "NO",
"enumeration_date": "2026-08-25",
"last_updated": "2026-08-25",
"certification_date": "2026-08-25",
"status": "A",
"authorized_official_last_name": "SILALAHI",
"authorized_official_first_name": "EDGAR",
"authorized_official_title_or_position": "CFO",
"authorized_official_telephone_number": "567-712-9002"
},
"taxonomies": [
{
"code": "310400000X",
"taxonomy_group": "",
"desc": "Assisted Living Facility",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Upper Sandusky, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.