VANCREST OF HICKSVILLE LLC
NPI 1821852385
Assisted Living Facility in Hicksville, OH
About Vancrest Of Hicksville Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
VANCREST OF HICKSVILLE LLC (NPI 1821852385), doing business as Vancrest Of Hicksville Assisted Living, is a healthcare organization registered as an assisted living facility in Hicksville, Ohio and active in the NPI registry since February 2024. The organization holds 2 active CLIA laboratory certificates and lists Edgar Silalahi, Cfo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Other Identifiers 2
CLIA Laboratory Certificates CMS CLIA 2
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 36D2301061
Vancrest Of Hicksville · Hicksville, OHCertificate of Waiver 36D2218038
Vancrest Of Hicksville · Hicksville, OHOther Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Hicksville LLC's NPI number?
The NPI number for Vancrest Of Hicksville LLC is 1821852385. It was assigned to this organization in the NPPES registry on February 6, 2024. The provider is doing business as Vancrest of Hicksville Assisted Living.
Where is Vancrest Of Hicksville LLC located?
Vancrest Of Hicksville LLC is located at 601 Defiance Ave, Hicksville, OH 43526. The listed phone number is (419) 542-7795.
What is Vancrest Of Hicksville LLC's specialty?
The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.
Does Vancrest Of Hicksville LLC hold CLIA laboratory certificates?
Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.
When was this NPI record last updated?
The NPPES record for Vancrest Of Hicksville LLC was last updated on May 19, 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.
# Vancrest Of Hicksville Llc · NPI 1821852385
Assisted Living Facility organization in Hicksville, Ohio. Organization record, active in the CMS NPPES registry since February 6, 2024.
## Identity
- **NPI:** 1821852385 (Entity type: Organization)
- **Enumerated:** February 6, 2024
- **Primary specialty:** Assisted Living Facility · taxonomy 310400000X
- **Also known as:** Vancrest of Hicksville Assisted Living (Doing Business As)
- **Organization subpart:** No
- **Authorized official:** Edgar Silalahi, CFO
## Practice location
- **Address:** 601 DEFIANCE AVE, Hicksville, OH 43526
- **Phone:** (419) 542-7795
## Record status
- **NPPES last updated:** May 19, 2026
- **Other identifiers:** Other 2985R (OH); Medicaid 0072056 (OH)
- **CLIA laboratory certificates:** 2 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1821852385) · Data from the CMS NPPES public registry.