Vancrest of Ada LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

VANCREST OF ADA LLC

Practice address

600 W North Ave
Ada, OH 45810-1041

Phone

(419) 238-0715

NPI assigned

Jan 11, 2016

Last updated

May 18, 2026By 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

Kyle Holliday

Title

Asst Cfo

Phone

(419) 238-0715

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1588020218. Details of each certification follow.

• CCN 366444 Skilled nursing facility · Active · Details

Skilled nursing facility certification: CCN 366444

Legal name

VANCREST OF ADA LLC

Doing business as

VANCREST OF ADA

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF dual certification

Participating since

Jul 28, 2016

Last certification

Feb 6, 2025

Beds

60

Ownership / control type

Limited Liability Corporation

Multi-facility organization

VANCREST HEALTHCARE CENTERS

Organization structure

LLCProprietary

Incorporated

Jul 9, 2012 in OH

Enrollment address

600 W North Ave
Ada, OH 45810-1041

Nursing home name

VANCREST OF ADA

Affiliated entity

VANCREST HEALTH CARE CENTERS

Listed as

Vancrest of AdaCCN 366444 · All quality measures

Overall star rating

2 of 5

Health inspections

2 of 5

Staffing

4 of 5

Quality measures

4 of 5

Type

Medicare and Medicaid

Ownership

For profit - Limited Liability company

Certified

Jul 28, 2016

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

6052.8 residents per day on average

Chain

Vancrest Health Care Centers13 facilities in the chain

Processed by Care Compare on Aug 1, 2026.

Tax ID family

Vancrest of Ada2 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.

• Vancrest of Ada, LLC

  • Assisted Living Facility
  • Ada, OH
  • NPI 1245698836
  NPD tax ID

All disclosed owners & managing parties 5

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

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.

• Alisa J. Marzec, MD

  • Family Medicine Physician
  • Columbus Grove, OH
  • NPI 1497066526
  NPD (past)

Affiliated clinicians 1

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Alisa J. Marzec, MD

  • Family Medicine Physician
  • Columbus Grove, OH
  • NPI 1497066526

  Nursing home

  Care Compare affiliation

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

{
    "created_epoch": "1452470400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1779062400000",
    "number": "1588020218",
    "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": "600 W NORTH AVE",
            "city": "ADA",
            "state": "OH",
            "postal_code": "458101041",
            "telephone_number": "419-238-0715"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VANCREST OF ADA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-11",
        "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": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0157521",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kaitlyn Thomson, PTA
• Darcy Rose Tidd, LPN
• Jennifer Lynn Toland, LPN
• James Earl Turner, PHARMACIST
• Susan Umphress
• Vancrest of Ada, LLC
• Ryan Waldschmidt
• Olivia Welch, RPH
• Chandalar Hope West, ATC
• Katie Lee Westgerdes, PHARMD

• Skilled Nursing Facility in Ada, OH
• Providers in Ada, OH by specialty
• Skilled Nursing Facility in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 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.

Verify at the official NPI Registry.