NPIMap

Organization Active NPI

Vancrest of Urbana, Inc

  • Skilled Nursing Facility
  • Urbana, OH
National Provider Identifier
1497926489
Registry record updated May 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
VANCREST OF URBANA, INC
Practice address
2380 S US Highway 68
Urbana, OH 43078-9470
Phone
(937) 653-5291
Fax
(937) 653-3885
NPI assigned
Mar 18, 2008
Last updated
May 19, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 19, 2026

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)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X NU Primary

Addresses

Primary practice location

2380 S US Highway 68
Urbana, OH 43078-9470

Mailing address

120 W Main St Ste 200
Van Wert, OH 45891-1761
Phone (419) 238-0715

Other identifiers 1

IdentifierTypeStateIssuer
2900687MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080417000694 OH Part A Provider - Skilled Nursing Facility 9739260498 Practice locations: Urbana, OH

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1497926489. Details of each certification follow.

Skilled nursing facility certification: CCN 365437

Legal name
VANCREST OF URBANA, INC
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Feb 22, 1980
Last certification
Apr 12, 2024
Beds
75
Ownership / control type
Limited Liability Corporation
Multi-facility organization
Vancrest Healthcare Centers
Most recent change of ownership
Aug 1, 2008
Organization structure
CorporationProprietary
Incorporated
Sep 17, 2007 in OH
Enrollment address
2380 S US Highway 68
Urbana, OH 43078-9470
Nursing home name
VANCREST OF URBANA, INC
Affiliated entity
VANCREST HEALTH CARE CENTERS

Care Compare: Nursing home

Medicare Care Compare
Listed as
Vancrest of Urbana, IncCCN 365437 · All quality measures
Overall star rating
3 of 5
Health inspections
3 of 5
Staffing
1 of 5
Quality measures
5 of 5
Type
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Certified
Feb 22, 1980
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
7567.0 residents per day on average
Chain
Vancrest Health Care Centers13 facilities in the chain

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory
Tax ID family
Vancrest of Urbana Assisted Living2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

2380 S US Highway 68
Urbana, OH 43078
Phone (937) 215-4263

Ownership & related parties

All disclosed owners & managing parties 7

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Vancrest Management Corp. Organization, Van Wert, OH For-profit Operational/Managerial Control Nov 4, 2014
Jon D Bagley Individual Contracted Managing EmployeeCoo Sep 17, 2007
5% Or Greater Direct Ownership Interest Sep 17, 2007 22%
Corporate OfficerCoo Sep 17, 2007
Corporate DirectorSecretary Sep 17, 2007
Jacob D Gehl Individual 5% Or Greater Direct Ownership Interest Sep 17, 2007 10%
Mark Stuart McCleery Individual Contracted Managing EmployeeTreasurer Sep 17, 2007
5% Or Greater Direct Ownership Interest Sep 17, 2007 9%
Corporate OfficerCfo Sep 17, 2007
Corporate DirectorTreasurer Sep 17, 2007
Steven Edward White Individual 5% Or Greater Direct Ownership Interest Sep 17, 2007 8%
Mark a White Individual Contracted Managing EmployeePresident Sep 17, 2007
5% Or Greater Direct Ownership Interest Sep 17, 2007 27%
Corporate OfficerCeo Sep 17, 2007
Corporate DirectorPresident Aug 1, 2008
Mark L Myers Individual 5% Or Greater Direct Ownership Interest Sep 17, 2007 16%

Facilities with the same owner 8

Facilities that share an organizational owner with 5% or greater ownership or operational control.

Practitioners & affiliated clinicians

Practitioners 2

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.

Affiliated clinicians 2

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": "1205798400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1779148800000",
    "number": "1497926489",
    "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": "2380 S US HIGHWAY 68",
            "city": "URBANA",
            "state": "OH",
            "postal_code": "430789470",
            "telephone_number": "937-653-5291",
            "fax_number": "937-653-3885"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VANCREST OF URBANA, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-18",
        "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": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2900687",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Urbana, OH

Sources for this page

Verify at the official NPI Registry.