Active NPI
Vancrest of Troy LLC
- Skilled Nursing Facility
- Troy, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- Legal business name
- VANCREST OF TROY LLC
- Practice address
- 3232 N County Road 25a
Troy, OH 45373-1338 - Phone
- (937) 440-7663
- NPI assigned
- Jan 3, 2025
- 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
- (419) 238-0715
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | Primary |
Addresses
Primary practice location
3232 N County Road 25a
Troy, OH 45373-1338
Mailing address
120 W Main St Ste 200
Van Wert, OH 45891-1761
Phone (419) 238-0715
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0092736 | Medicaid | OH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20250505001233 | OH | Part A Provider - Skilled Nursing Facility | 4385161363 | Practice locations: Troy, OH |
Skilled nursing facility certification: CCN 365735
- Legal name
- VANCREST OF TROY, LLC
- Doing business as
- VANCREST - UPPER VALLEY
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- May 8, 1989
- Last certification
- Jul 25, 2024
- Beds
- 127
- Ownership / control type
- Nonprofit Corporation
- Organization structure
- LLC
- Enrollment address
- 3232 N County Road 25a
Troy, OH 45373-1338 - Nursing home name
- VANCREST-UPPER VALLEY
- Affiliated entity
- VANCREST HEALTH CARE CENTERS
Care Compare: Nursing home
Medicare Care Compare- Listed as
- Vancrest-Upper Valley
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- Non profit - Corporation
- Certified
- May 8, 1989
- Medicare certification status
- Active
- Certified beds
- 127
- Chain
- Vancrest Health Care Centers
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 36D0715741 | Vancrest - Upper Valley | Certificate of waiver | Aug 31, 2026 |
National Provider Directory
National Provider DirectoryOwnership & related parties
All disclosed owners & managing parties 46
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 |
|---|---|---|---|
| Adp of the SNF | Dec 30, 2024 | ||
| Vancrest Management Corp. | Operational/Managerial Control | Dec 30, 2024 | |
| Adp of the SNF | Dec 30, 2024 | ||
| Scott White | 5% Or Greater Direct Ownership Interest | Dec 30, 2024 | 5% |
| Adp of the SNF | Jun 12, 2025 | ||
| Mark Rudasill | Operational/Managerial Control | Dec 30, 2024 | |
| Adp of the SNF | Dec 30, 2024 | ||
| Adp of the SNF | Dec 30, 2024 | ||
| Jon D Bagley | 5% Or Greater Direct Ownership Interest | Dec 30, 2024 | 15% |
| Corporate Officer | Dec 30, 2024 | ||
| Adp of the SNF | Dec 30, 2024 | ||
| Nicolaus White | 5% Or Greater Direct Ownership Interest | Dec 30, 2024 | 10% |
| Robert Contento | Operational/Managerial Control | Dec 30, 2024 | |
| Adp of the SNF | Dec 30, 2024 | ||
| Adp of the SNF | Dec 30, 2024 | ||
| Mark Stuart McCleery | 5% Or Greater Direct Ownership Interest | Dec 30, 2024 | 40% |
| Adp of the SNF | Dec 30, 2024 | ||
| Adp of the SNF | Dec 30, 2024 | ||
| Aquila Initiative Inc | Adp of the SNF | Dec 30, 2024 | |
| Bashore Reineck Stoller & Waterman Inc | Adp of the SNF | Dec 30, 2024 | |
| Twomagnets LLC | Adp of the SNF | Dec 30, 2024 | |
| Naga Prasuna Madireddy | Operational/Managerial Control | Dec 30, 2024 | |
| Adp of the SNF | Dec 30, 2024 | ||
| Claire White | 5% Or Greater Direct Ownership Interest | Dec 30, 2024 | |
| Adp of the SNF | Dec 30, 2024 | ||
| Adp of the SNF | Dec 30, 2024 | ||
| Kathy Parker | Operational/Managerial Control | Dec 30, 2024 | |
| Adp of the SNF | Dec 30, 2024 | ||
| Veracity Resourcing and Services LLC | Adp of the SNF | Dec 30, 2024 | |
| Adp of the SNF | Jun 12, 2025 | ||
| Betty Allen | Operational/Managerial Control | Dec 30, 2024 | |
| Adp of the SNF | Dec 30, 2024 | ||
| Adp of the SNF | Dec 30, 2024 | ||
| Adp of the SNF | Dec 30, 2024 | ||
| Adp of the SNF | Dec 30, 2024 | ||
| Cierra Sutherland | Operational/Managerial Control | Dec 30, 2024 | |
| Adp of the SNF | Dec 30, 2024 | ||
| Mark a White | 5% Or Greater Direct Ownership Interest | Dec 30, 2024 | 45% |
| Corporate Officer | Dec 30, 2024 | ||
| Operational/Managerial Control | Dec 30, 2024 | ||
| Adp of the SNF | Dec 30, 2024 | ||
| Troy Health Facilities, LLC | Operational/Managerial Control | Dec 30, 2024 | |
| Adp of the SNF | Dec 30, 2024 | ||
| Adp of the SNF | Dec 30, 2024 | ||
| Therapy Solutions | Adp of the SNF | Apr 1, 2025 | |
| Shane Stewart | Operational/Managerial Control | Dec 30, 2024 | |
| Managing Control - Governing Body | Dec 30, 2024 | ||
| Adp of the SNF | Dec 30, 2024 | ||
| Adp of the SNF | Dec 30, 2024 | ||
| Adp of the SNF | Dec 30, 2024 | ||
| Edgar Silalahi | Operational/Managerial Control | Dec 30, 2024 | |
| Managing Control - Governing Body | Dec 30, 2024 | ||
| Adp of the SNF | Dec 30, 2024 | ||
| Adp of the SNF | Dec 30, 2024 | ||
| Mark L Myers | 5% Or Greater Direct Ownership Interest | Dec 30, 2024 | 10% |
| Elizabeth Fuelling | Operational/Managerial Control | Dec 30, 2024 | |
| Adp of the SNF | Dec 30, 2024 | ||
| Uvmc Nursing Care, Inc | Adp of the SNF | Dec 27, 1989 | |
| Adp of the SNF | Dec 30, 2024 | ||
| Julia Pottenger | Operational/Managerial Control | Dec 30, 2024 | |
| Adp of the SNF | Dec 30, 2024 | ||
| Howard, Wershbale & Co | Adp of the SNF | Dec 30, 2024 | |
| Adp of the SNF | Dec 30, 2024 |
Owners & managing parties with NPI records 1
Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.
-
- Internal Medicine Physician
- Piqua, OH
- NPI 1518965094
Adp of the SNF, Operational/Managerial Control
Facilities with the same owner 8
Facilities that share an organizational owner with 5% or greater ownership or operational control.
-
- Skilled Nursing Facility
- Holgate, OH
- NPI 1760572564
Vancrest Management Corp.
-
- Skilled Nursing Facility
- Greenville, OH
- NPI 1578645214
Vancrest Management Corp.
-
- Skilled Nursing Facility
- Hicksville, OH
- NPI 1851976658
Vancrest Management Corp.
-
- Skilled Nursing Facility
- New Carlisle, OH
- NPI 1871839167
Vancrest Management Corp.
-
- Skilled Nursing Facility
- Urbana, OH
- NPI 1497926489
Vancrest Management Corp.
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Internal Medicine Physician
- Piqua, OH
- NPI 1518965094
Affiliated clinicians 1
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": "1735862400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1779148800000",
"number": "1205645348",
"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": "3232 N COUNTY ROAD 25A",
"city": "TROY",
"state": "OH",
"postal_code": "453731338",
"telephone_number": "937-440-7663"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VANCREST OF TROY LLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-01-03",
"last_updated": "2026-05-19",
"certification_date": "2026-05-19",
"status": "A",
"authorized_official_last_name": "SILALAHI",
"authorized_official_first_name": "EDGAR",
"authorized_official_title_or_position": "CFO",
"authorized_official_telephone_number": "419-238-0715"
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0092736",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Troy, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2026; 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.