VANCREST ASSISTED LIVING
NPI 1780774687
Assisted Living Facility in Van Wert, OH

NPI Status: Active since October 13, 2006

Contact Information

10357 VAN WERT DECATUR RD
VAN WERT, OH
ZIP 45891
Phone: (419) 238-4646
Fax: (419) 238-5727

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  • Organization
  • Assisted Living Facility
  • CLIA Number: 36D0656531
  • CLIA Cert. Type: Skilled Nursing Facility/Nursing Facility
  • CLIA Exp. Date: 08-31-2026

About VANCREST ASSISTED LIVING

This page provides the complete NPI Profile along with additional information for Vancrest Assisted Living, a provider established in Van Wert, Ohio operating as a Assisted Living Facility. The healthcare provider is registered in the NPI registry with number 1780774687 assigned on October 2006. The practitioner's primary taxonomy code is 310400000X with license number 5153 (OH). The provider is registered as an organization and their NPI record was last updated 5 years ago. The provider's is doing business as Vancrest Assisted Living. The authorized official of this NPI record is Renee Eyanson (Accounts Receivable Manager)

NPI
1780774687
Provider Legal Name
VAN RUE INC.
Other Organization Name
VANCREST ASSISTED LIVING
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
10357 VAN WERT DECATUR RD VAN WERT, OH 45891
Location Phone
(419) 238-4646
Location Fax
(419) 238-5727
Mailing Address
10357 VAN WERT DECATUR RD VAN WERT, OH 45891
Mailing Phone
(419) 238-4646
Mailing Fax
(419) 238-5727
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
10-13-2006
Last Update Date
08-22-2020
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Assisted Living Facility

Taxonomy Code
310400000X
Type
Nursing & Custodial Care Facilities
License No.
5153
License State
OH
Taxonomy Description
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.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

RENEE EYANSON

Authorized Official Title
ACCOUNTS RECEIVABLE MANAGER
Authorized Official Phone
(419) 238-0715

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
36D0656531
Facility Type
Skilled Nursing Facility/Nursing Facility
Certificate Effective Date
September 01, 2024
Certificate Expiration Date
August 31, 2026
Laboratory Director
JOELLE R. POND
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Vancrest Assisted Living to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1780774687
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
271601478616
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 7 + 1 + 6 + 0 + 1 + 4 + 7 + 8 + 6 + 1 + 6 + 24 = 73
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
80 - 73 = 77

The NPI number 1780774687 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 2 providers are registered at the same or nearby location.

VAN RUE INC.

Skilled Nursing Facility

10357 VAN WERT DECATUR RD
VAN WERT, OH
ZIP 45891

(419) 238-4646

RAE-ANN REBECCA SANDERS LMT, LPN, CDP

Licensed Practical Nurse

10357 VAN WERT DECATUR RD
VAN WERT, OH
ZIP 45891

(330) 472-0965

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1780774687, enumerated as an "organization" on October 13, 2006.

The provider is located at 10357 VAN WERT DECATUR RD VAN WERT, OH 45891 and the phone number is (419) 238-4646.

Assisted Living Facility with taxonomy code 310400000X.