Organization Active NPI

Vancrest, LTD

Doing business as Vancrest Assisted Living of Delphos

  • Assisted Living Facility
  • Delphos, OH
National Provider Identifier
1669556882
Registry record updated May 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
5428 Issued in OH
Legal business name
VANCREST, LTD
Doing business as
Vancrest Assisted Living of Delphos
Practice address
1425 E 5TH St
Delphos, OH 45833-9142
Phone
(419) 695-2871
NPI assigned
Oct 24, 2006
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
Kyle Holliday
Title
Asst Cfo
Phone
(419) 238-0715

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X 5428 OH Primary

Addresses

Primary practice location

1425 E 5TH St
Delphos, OH 45833-9142

Mailing address

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

Other identifiers 1

IdentifierTypeStateIssuer
2764450MedicaidOH

Other names 1

  • Vancrest Assisted Living of Delphos Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Vancrest Assisted Living4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

Locations

1425 E 5th St
Delphos, OH 45833
Phone (419) 695-2871

NPI Registry JSON

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

{
    "created_epoch": "1161648000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1779148800000",
    "number": "1669556882",
    "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": "1425 E 5TH ST",
            "city": "DELPHOS",
            "state": "OH",
            "postal_code": "458339142",
            "telephone_number": "419-695-2871"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VANCREST, LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-24",
        "last_updated": "2026-05-19",
        "certification_date": "2026-05-19",
        "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": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "OH",
            "license": "5428",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2764450",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Vancrest Assisted Living of Delphos",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Delphos, OH

Sources for this page

  • 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.