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VANCREST OF PAYNE, LLC
NPI 1790113330
Assisted Living Facility in Payne, OH

Active since October 17, 2013
650 N MAIN ST, PAYNE, OH 45880(419) 263-0191(419) 263-0193 Get Directions Write a Review

NPPES record last updated: May 14, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 14, 2026, May 7, 2026 (2 updates tracked since 2026).

About Vancrest Of Payne, Llc NPPES

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

VANCREST OF PAYNE, LLC (NPI 1790113330) is a healthcare organization registered as an assisted living facility in Payne, Ohio and active in the NPI registry since October 2013. The organization lists Kyle Holliday, Asst Cfo, as its authorized official.

NPPES Registry Identity

NPI1790113330
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameVANCREST OF PAYNE, LLC
Location Address650 N MAIN STPayne, OH 45880-9026
Mailing Address120 W Main St Ste 200Van Wert, OH 45891-1761 · (419) 238-0715 · Fax (419) 238-4814
Phone(419) 263-0191
Fax(419) 263-0193
Organization SubpartNo
Authorized OfficialKyle HollidayAsst Cfo · (419) 238-0715
Enumeration DateOctober 17, 2013
Last NPPES UpdateMay 14, 20262 updates tracked since enumeration
NPPES CertifiedMay 14, 2026
✔ NPI 1790113330 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.
650 N MAIN ST, Payne, OH 45880
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Other Identifiers 2

Medicaid0099863OH
Medicaid2641ROH

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DALLAS LAMB FOUNDATION
Nursing Facility/Intermediate Care Facility
650 N MAIN ST
PAYNE, OH 45880
Paulding County (419) 263-2334
VANCREST OF PAYNE, LLC
Skilled Nursing Facility
650 N MAIN ST
PAYNE, OH 45880
Paulding County (419) 263-0191

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 Vancrest Of Payne, LLC's NPI number?

The NPI number for Vancrest Of Payne, LLC is 1790113330. It was assigned to this organization in the NPPES registry on October 17, 2013.

Where is Vancrest Of Payne, LLC located?

Vancrest Of Payne, LLC is located at 650 N Main St, Payne, OH 45880. The listed phone number is (419) 263-0191.

What is Vancrest Of Payne, LLC's specialty?

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

When was this NPI record last updated?

The NPPES record for Vancrest Of Payne, LLC was last updated on May 14, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months 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.