Active NPI
Van Rue Inc.
Doing business as Vancrest Assisted Living
- Assisted Living Facility
- Van Wert, OH
National Provider Identifier
1780774687
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assisted Living Facility
- License
- 5153
- Legal business name
- VAN RUE INC.
- Doing business as
- Vancrest Assisted Living
- Practice address
- 10357 Van Wert Decatur Rd
Van Wert, OH 45891-9209 - Phone
- (419) 238-4646
- Fax
- (419) 238-5727
- NPI assigned
- Oct 13, 2006
- Last updated
- May 19, 2026
- 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
- Kyle Holliday
- Title
- Asst Cfo
- Phone
- (419) 238-0715
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assisted Living Facility | 310400000X | 5153 | OH | Primary |
Addresses
Primary practice location
10357 Van Wert Decatur Rd
Van Wert, OH 45891-9209
Mailing address
120 W Main St Ste 200
Van Wert, OH 45891-1761
Phone (419) 238-0715
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2709251 | Medicaid | OH |
Other names 1
- Vancrest Assisted Living
National Provider Directory
National Provider Directory- Tax ID family
- Van Rue Inc
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
Locations
10357 Van Wert Decatur Rd
Van Wert, OH 45891
Phone (419) 238-4646
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160697600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1779148800000",
"number": "1780774687",
"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": "10357 VAN WERT DECATUR RD",
"city": "VAN WERT",
"state": "OH",
"postal_code": "458919209",
"telephone_number": "419-238-4646",
"fax_number": "419-238-5727"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VAN RUE INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-13",
"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": "5153",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2709251",
"state": "OH"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Vancrest Assisted Living",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Van Wert, 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.