Vancrest of Urbana Assisted Living

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

VANCREST OF URBANA ASSISTED LIVING

Practice address

2380 S US Highway 68
Urbana, OH 43078-9470

Phone

(937) 653-5291

NPI assigned

Dec 4, 2020

Organization subpart

No

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

Addresses

Other identifiers 1

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.

• Vancrest of Urbana, Inc

  • Skilled Nursing Facility
  • Urbana, OH
  • NPI 1497926489
  NPD tax ID

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

{
    "created_epoch": "1607040000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1779148800000",
    "number": "1619573755",
    "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"
        },
        {
            "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"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VANCREST OF URBANA ASSISTED LIVING",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-04",
        "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": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0140977",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Urbana City Schools
• Urbana Dialysis LLC (Urbana Dialysis Center)
• Urbana Healthcare Group, LLC (Urbana Health & Rehab Center)
• Urbana Youth Center
• Valerie Smith MD Family Practice LLC
• Vancrest of Urbana, Inc
• Vectren
• Mollie Verdier
• Linda Vernon
• Lisa Viviano, LPN

• Assisted Living Facility in Urbana, OH
• Providers in Urbana, 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 May 19, 2026; 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.