VAN WERT AL MC LLC
NPI 1316688336
Assisted Living Facility in Van Wert, OH

Active since April 05, 2022CLIA 36D2226380 · Waiver
240 TOWN CENTER BLVD, VAN WERT, OH 45891(419) 771-1400(419) 771-1401 Get Directions Write a Review

NPPES record last updated: April 5, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Van Wert Al Mc Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

VAN WERT AL MC LLC (NPI 1316688336) is a healthcare organization registered as an assisted living facility in Van Wert, Ohio and active in the NPI registry since April 2022. The organization holds a CLIA Waiver certificate valid through May 27, 2027 and lists Olivia Gibson, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1316688336
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameVAN WERT AL MC LLC
Location Address240 TOWN CENTER BLVDVan Wert, OH 45891-9086
Mailing Address240 Town Center BlvdVan Wert, OH 45891-9086 · (419) 771-1400 · Fax (419) 771-1401
Fax(419) 771-1401
Organization SubpartNo
Authorized OfficialOlivia GibsonExecutive Director · (419) 771-1400
Enumeration DateApril 5, 2022
NPPES CertifiedApril 4, 2022
NPI 1316688336 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities
Taxonomy Code310400000X
Definition
A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.
240 TOWN CENTER BLVD, Van Wert, OH 45891

Other Names 1

Other NameHomestead At Towne Center

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 36D2226380

Van Wert Al Mc LLC Homestead At Towne Center · Van Wert, OH
Active · expires May 27, 2027
CLIA Number36D2226380
Laboratory TypeAssisted Living Facility
Certificate Effective DateMay 28, 2025
Certificate Expiration DateMay 27, 2027
Laboratory DirectorJennifer Salazar-Bates
Laboratory Phone(419) 771-1400
Laboratory LocationVan Wert Al Mc LLC Homestead At Towne Center240 Towne Center Blvd, Van Wert, OH 45891
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Van Wert Al Mc LLC's NPI number?

The NPI number for Van Wert Al Mc LLC is 1316688336. It was assigned to this organization in the NPPES registry on April 5, 2022. The provider is also known as Homestead At Towne Center.

Where is Van Wert Al Mc LLC located?

Van Wert Al Mc LLC is located at 240 Town Center Blvd, Van Wert, OH 45891. The listed phone number is (419) 771-1400.

What is Van Wert Al Mc LLC's specialty?

The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.

Does Van Wert Al Mc LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 36D2226380) is associated with this NPI, valid through May 27, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Van Wert Al Mc LLC was last updated on April 5, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.