Van Wert Al MC LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

VAN WERT AL MC LLC

Practice address

240 Town Center Blvd
Van Wert, OH 45891-9086

Phone

(419) 771-1400

Fax

(419) 771-1401

NPI assigned

Apr 5, 2022

Last updated

Apr 5, 2022By 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

Olivia Gibson

Title

Executive Director

Phone

(419) 771-1400

Specialties & licenses 1

Addresses

Other names 1

• Homestead At Towne Center Other name

Electronic endpoints 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Katelyn Clair Welch, OTD, OTR/L

  • Occupational Therapist
  • Van Wert, OH
  • NPI 1053198119
  NPD

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

{
    "created_epoch": "1649116800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1649116800000",
    "number": "1316688336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "240 TOWN CENTER BLVD",
            "city": "VAN WERT",
            "state": "OH",
            "postal_code": "458919086",
            "telephone_number": "419-771-1400",
            "fax_number": "419-771-1401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "240 TOWN CENTER BLVD",
            "city": "VAN WERT",
            "state": "OH",
            "postal_code": "458919086",
            "telephone_number": "419-771-1400",
            "fax_number": "419-771-1401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VAN WERT AL MC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-05",
        "last_updated": "2022-04-05",
        "certification_date": "2022-04-04",
        "status": "A",
        "authorized_official_last_name": "GIBSON",
        "authorized_official_first_name": "OLIVIA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "419-771-1400"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "ed@homesteadassistedliving.com",
            "affiliation": "N",
            "endpointDescription": "Community",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "all",
            "address_1": "240 Town Center Blvd",
            "city": "Van Wert",
            "state": "OH",
            "country_code": "US",
            "postal_code": "458919086",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Homestead At Towne Center",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Christine R Ulrich, CNP
• Unverferth Family Dentistry, Inc.
• Erica Unverferth, DDS
• Van Rue Inc. (Vancrest Assisted Living)
• Van Rue Inc. (Vancrest Health Care Center)
• Van Wert Bedrooms Inc
• Van Wert City Office of Auditor
• Van Wert City Schools
• Van Wert Counseling Office
• Van Wert County Board of MRDD

• Assisted Living Facility in Van Wert, OH
• Providers in Van Wert, 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 Apr 5, 2022; 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.