Active NPI
Vlop LLC
- Skilled Nursing Facility
- Saint Marys, OH
National Provider Identifier
1588075592
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- Legal business name
- VLOP LLC
- Practice address
- 1140 S Knoxville Ave
Saint Marys, OH 45885-2609 - Phone
- (419) 394-3308
- Fax
- (419) 394-3300
- NPI assigned
- May 13, 2014
- 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
- Mark S McCleery
- Title
- Cfo
- Phone
- (419) 238-0715
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | Primary |
Addresses
Primary practice location
1140 S Knoxville Ave
Saint Marys, OH 45885-2609
Mailing address
120 W Main St
Suite 200
Van Wert, OH 45891-1761
Phone (419) 238-0715
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0103352 | Medicaid | OH |
Other names 1
- VANCREST OF ST MARYS
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1399939200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1443398400000",
"number": "1588075592",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "120 W MAIN ST",
"address_2": "SUITE 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": "1140 S KNOXVILLE AVE",
"city": "SAINT MARYS",
"state": "OH",
"postal_code": "458852609",
"telephone_number": "419-394-3308",
"fax_number": "419-394-3300"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VLOP LLC",
"organizational_subpart": "NO",
"enumeration_date": "2014-05-13",
"last_updated": "2015-09-28",
"status": "A",
"authorized_official_last_name": "MCCLEERY",
"authorized_official_first_name": "MARK",
"authorized_official_middle_name": "S",
"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": "0103352",
"state": "OH"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "VANCREST OF ST MARYS",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Saint Marys, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.