NPIMap

Organization Active NPI

Resthaven Operations LLC

Doing business as Rest Haven Nursing Home Vancrest of Greenville

  • Skilled Nursing Facility
  • Greenville, OH
National Provider Identifier
1578645214
Registry record updated May 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
1467 Issued in OH
Legal business name
RESTHAVEN OPERATIONS LLC
Doing business as
Rest Haven Nursing Home Vancrest of Greenville
Practice address
1096 North Ohio Street
Greenville, OH 45331
Phone
(937) 548-1138
NPI assigned
Oct 20, 2006
Last updated
May 18, 2026By the provider in NPPES
Organization subpart
Yes
Parent organization
REST HAVEN NURSING HOME INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 18, 2026

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

Authorized official

Name
Kyle Holliday
Title
Asst Cfo
Phone
(419) 238-0715

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 1467 OH Primary

Addresses

Primary practice location

1096 North Ohio Street
Greenville, OH 45331

Mailing address

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

Other identifiers 2

IdentifierTypeStateIssuer
000000002692OtherOHANTHEM BCBS
2472622MedicaidOH

Other names 1

  • Rest Haven Nursing Home Vancrest of Greenville Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040729000109 OH Part A Provider - Skilled Nursing Facility 2365412160 Practice locations: Greenville, OH

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1578645214. Details of each certification follow.

Skilled nursing facility certification: CCN 365448

Legal name
RESTHAVEN OPERATIONS LLC
Doing business as
REST HAVEN NURSING HOME
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Mar 3, 1980
Last certification
Dec 19, 2022
Beds
76
Ownership / control type
Limited Liability Corporation
Organization structure
LLCProprietary
Incorporated
Apr 14, 2004 in OH
Enrollment address
1096N Ohio St
Greenville, OH 45331-2919
Nursing home name
REST HAVEN NURSING HOME INC
Affiliated entity
VANCREST HEALTH CARE CENTERS

Care Compare: Nursing home

Medicare Care Compare
Listed as
Rest Haven Nursing Home IncCCN 365448 · All quality measures
Overall star rating
4 of 5
Health inspections
3 of 5
Staffing
2 of 5
Quality measures
5 of 5
Type
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Certified
Mar 3, 1980
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
7663.8 residents per day on average
Chain
Vancrest Health Care Centers13 facilities in the chain

Processed by Care Compare on Aug 1, 2026.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
36D0691677Rest Haven Nursing Home Inc1096 N Ohio Street, Greenville, OH 45331Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory

Locations

1096 N Ohio St
Greenville, OH 45331
Phone (937) 548-1138

Ownership & related parties

All disclosed owners & managing parties 10

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 Jan 1, 2011
Lisa Hess Individual W-2 Managing Employee Mar 20, 2018
Jon D Bagley Individual Contracted Managing EmployeeCoo May 31, 2004
5% Or Greater Indirect Ownership InterestManagerial Jan 1, 2003 22%
Corporate OfficerCoo Jan 1, 2003
Jacob D Gehl Individual 5% Or Greater Indirect Ownership Interest Jan 1, 2003 10%
Mark Stuart McCleery Individual Contracted Managing EmployeeCfo May 31, 2004
5% Or Greater Indirect Ownership InterestCfo Jan 1, 2003 9%
Corporate OfficerCfo Jan 1, 2003
Carol L White Individual 5% Or Greater Indirect Ownership Interest Jan 1, 2003 8%
Resthaven Nursing Home Inc. Organization, Greenville, OH Holding company 5% Or Greater Direct Ownership Interest May 31, 2004 100%
Steven Edward White Individual 5% Or Greater Indirect Ownership Interest Jan 1, 2003 8%
Mark a White Individual Contracted Managing EmployeeCeo May 31, 2004
5% Or Greater Indirect Ownership InterestManagment Services Jan 1, 2003 27%
Mark L Myers Individual 5% Or Greater Indirect Ownership Interest Jan 1, 2003 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 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": "1161302400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1779062400000",
    "number": "1578645214",
    "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": "1096 NORTH OHIO STREET",
            "city": "GREENVILLE",
            "state": "OH",
            "postal_code": "45331",
            "telephone_number": "937-548-1138"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RESTHAVEN OPERATIONS LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "REST HAVEN NURSING HOME INC",
        "enumeration_date": "2006-10-20",
        "last_updated": "2026-05-18",
        "certification_date": "2026-05-18",
        "status": "A",
        "authorized_official_last_name": "HOLLIDAY",
        "authorized_official_first_name": "KYLE",
        "authorized_official_title_or_position": "ASST CFO",
        "authorized_official_telephone_number": "419-238-0715"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "OH",
            "license": "1467",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BCBS",
            "identifier": "000000002692",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2472622",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rest Haven Nursing Home Vancrest of Greenville",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Greenville, OH

Sources for this page

Verify at the official NPI Registry.