Active NPI
Vancrest Assisted Living
- Assisted Living Facility
- Eaton, OH
National Provider Identifier
1902402043
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assisted Living Facility
- Legal business name
- VANCREST ASSISTED LIVING
- Practice address
- 1600 Park Ave
Eaton, OH 45320-9674 - Phone
- (937) 456-3010
- NPI assigned
- Dec 4, 2020
- 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
- Edgar Silalahi
- Title
- Cfo
- Phone
- (419) 238-0715
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assisted Living Facility | 310400000X | Primary |
Addresses
Primary practice location
1600 Park Ave
Eaton, OH 45320-9674
Mailing address
120 W Main St Ste 200
Van Wert, OH 45891-1761
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2781100 | Medicaid | OH |
National Provider Directory
National Provider Directory- Tax ID family
- Vancrest Assisted Living
Other organizations with this tax ID 3
Organizations that report the same tax identification number in the National Provider Directory.
-
dba Vancrest Health Care Center of Delphos
- Skilled Nursing Facility
- Delphos, OH
- NPI 1164512968
-
dba Vancrest Assisted Living of Delphos
- Assisted Living Facility
- Delphos, OH
- NPI 1669556882
NPI Registry JSON
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": "1902402043",
"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": "1600 PARK AVE",
"city": "EATON",
"state": "OH",
"postal_code": "453209674",
"telephone_number": "937-456-3010"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VANCREST 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": "2781100",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Eaton, 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.