VANCREST ASSISTED LIVING
NPI 1902402043
Assisted Living Facility in Eaton, OH

Active since December 04, 2020
1600 PARK AVE, EATON, OH 45320(937) 456-3010 Get Directions Write a Review

NPPES record last updated: May 19, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 19, 2026, Dec 4, 2020 (2 updates tracked since 2020).

About Vancrest Assisted Living NPPES

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

VANCREST ASSISTED LIVING (NPI 1902402043) is a healthcare organization registered as an assisted living facility in Eaton, Ohio and active in the NPI registry since December 2020. The organization lists Edgar Silalahi, Cfo, as its authorized official.

NPPES Registry Identity

NPI1902402043
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameVANCREST ASSISTED LIVING
Location Address1600 PARK AVEEaton, OH 45320-9674
Mailing Address120 W Main St Ste 200Van Wert, OH 45891-1761
Organization SubpartNo
Authorized OfficialEdgar SilalahiCfo · (419) 238-0715
Enumeration DateDecember 4, 2020
Last NPPES UpdateMay 19, 20262 updates tracked since enumeration
NPPES CertifiedMay 19, 2026
NPI 1902402043 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.
1600 PARK AVE, Eaton, OH 45320

Other Identifiers 1

Medicaid2781100OH

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.

Skilled Nursing Facility
1600 PARK AVE
EATON, OH 45320
Occupational Therapist
1600 PARK AVE
EATON, OH 45320

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 Assisted Living's NPI number?

The NPI number for Vancrest Assisted Living is 1902402043. It was assigned to this organization in the NPPES registry on December 4, 2020.

Where is Vancrest Assisted Living located?

Vancrest Assisted Living is located at 1600 Park Ave, Eaton, OH 45320. The listed phone number is (937) 456-3010.

What is Vancrest Assisted Living'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 Assisted Living 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.