NPIMap

Organization Active NPI

Van Rue Inc.

Doing business as Vancrest Health Care Center

  • Skilled Nursing Facility
  • Van Wert, OH
National Provider Identifier
1932283157
Registry record updated May 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
4994 Issued in OH
Legal business name
VAN RUE INC.
Doing business as
Vancrest Health Care Center
Practice address
10357 Van Wert Decatur Rd
Van Wert, OH 45891-9209
Phone
(419) 238-4646
Fax
(419) 238-5727
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
Skilled Nursing Facility 314000000X 4994 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 2

IdentifierTypeStateIssuer
0147488MedicaidOH
000000157584OtherOHANTHEM

Other names 1

  • Vancrest Health Care Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20041015000691 OH Part A Provider - Skilled Nursing Facility 7214997022 Practice locations: Van Wert, OH

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1932283157. Details of each certification follow.

Skilled nursing facility certification: CCN 365254

Legal name
VAN RUE, INC.
Doing business as
VANCREST OF VAN WERT
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Dec 23, 1970
Last certification
May 1, 2025
Beds
93
Ownership / control type
Corporation
Multi-facility organization
Vancrest Management Corporation
Organization structure
CorporationProprietary
Incorporated
Feb 8, 1960 in OH
Enrollment address
10357 Van Wert Decatur Rd
Van Wert, OH 45891-8425
Nursing home name
VANCREST HEALTH CARE CENTER
Affiliated entity
VANCREST HEALTH CARE CENTERS

Care Compare: Nursing home

Medicare Care Compare
Listed as
Vancrest Health Care CenterCCN 365254 · All quality measures
Overall star rating
5 of 5
Health inspections
4 of 5
Staffing
3 of 5
Quality measures
5 of 5
Type
Medicare and Medicaid
Ownership
For profit - Corporation
Certified
Dec 23, 1970
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
9374.7 residents per day on average
Chain
Vancrest Health Care Centers13 facilities in the chain

Processed by Care Compare on Aug 1, 2026.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
36D0656531Vancrest Health Care Center10357 Van Wert Decatur Road, Van Wert, OH 45891Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory
Tax ID family
Van Rue Inc2 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.

Ownership & related parties

All disclosed owners & managing parties 6

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Vancrest Management Corp. Organization, Van Wert, OH For-profit Operational/Managerial Control Oct 1, 2005 37%
Scott White Individual 5% Or Greater Direct Ownership Interest Jan 1, 2020 35.14%
W-2 Managing EmployeeAdministrator Aug 26, 2013
Jon D Bagley Individual Corporate OfficerBoard Member Oct 1, 1994
Mark Stuart McCleery Individual Corporate OfficerChief Financial Officer Sep 23, 1993
Carol L White Individual 5% Or Greater Direct Ownership Interest Jan 1, 1982 27.03%
Corporate DirectorBoard Member Jan 1, 1982 27.03%
Mark a White Individual 5% Or Greater Direct Ownership InterestChief Executive Officer Jan 1, 1982 37.84%
Corporate OfficerChief Executive Officer Jan 1, 1982 37.84%
Corporate DirectorChief Executive Officer Jan 1, 1982 37.84%

Facilities with the same owner 8

Facilities that share an organizational owner with 5% or greater ownership or operational control.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

Affiliated clinicians 1

Clinicians who list this facility as an affiliation in Medicare Care Compare.

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": "1932283157",
    "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": "2006-10-24",
        "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": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "OH",
            "license": "4994",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0147488",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000157584",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Vancrest Health Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Van Wert, OH

Sources for this page

Verify at the official NPI Registry.