OMNI MANOR, INC. (NPI# 1205049160) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205049160 |
| Entity Type | Organization |
| Organization Name | OMNI MANOR, INC. |
| Other Organization Name | OMNI WEST ASSISTED LIVING RESIDENCE |
| Practice Address |
3259 Vestal Rd Youngstown OH 44509-1062 |
| Practice Telephone | 3307934404 |
| Practice Fax Number | 3307930630 |
| Mailing Telephone | 3307934404 |
| Mailing Fax Number | 3307930630 |
| Enumeration Date | 2007-05-08 |
| Last Update Date | 2008-06-18 |
| Authorized Official Name | MRS. MADELINE LOUISE D'AGOSTINO (DIRECTOR) |
| Authorized Official Telephone | 3307934404 |
| Authorized Official Credential | LPN |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 310400000X | Assisted Living Facility | 2022R | OH | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 150284487 | 05 |
| Other Name | Type Code |
|---|---|
| OMNI WEST ASSISTED LIVING RESIDENCE | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366960320 | Omni Manor, Inc. | Skilled Nursing Facility | 6445 State Route 446, Canfield, OH 44406-8475 | 2017-08-30 |
| 1992058663 | Omni Manor, Inc. | Assisted Living Facility | 1 Windsor Place, Warren, OH 44483 | 2012-10-18 |
| 1497994610 | Omni Manor, Inc. | Skilled Nursing Facility | 5250 Windsor Way, New Middletown, OH 44442 | 2009-02-11 |
| 1275739450 | Omni Manor, Inc. | Assisted Living Facility | 1353 Churchill Hubbard Rd, Youngstown, OH 44505-1380 | 2007-06-25 |
| 1295745032 | Omni Manor, Inc. | Skilled Nursing Facility | 95 Black Dr, Doylestown, OH 44230-1374 | 2006-08-08 |
| 1902816739 | Omni Manor, Inc. | Skilled Nursing Facility | 3245 Vestal Rd, Youngstown, OH 44509-1062 | 2006-08-08 |
| 1790795201 | Omni Manor, Inc. | Skilled Nursing Facility | 930 E Park Ave, Columbiana, OH 44408-1452 | 2006-08-08 |
| 1528078342 | Omni Manor, Inc. | Skilled Nursing Facility | 1735 Belmont Ave, Youngstown, OH 44504-1111 | 2006-08-08 |
| 1285644906 | Omni Manor, Inc. | Skilled Nursing Facility | 1899 W Garfield Rd, Columbiana, OH 44408-9785 | 2006-08-08 |
| 1942210760 | Omni Manor, Inc. | Skilled Nursing Facility | 563 Brookfield Ave, Masury, OH 44438-1050 | 2006-08-08 |
| Street Address |
3259 VESTAL RD |
| City | YOUNGSTOWN |
| State | OH |
| Zip Code | 44509-1062 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699382721 | Briann C Little | Home Health | 241 S Osborn Ave, Youngstown, OH 44509 | 2020-09-23 |
| 1639794498 | Drelynn Jacobs | Home Health Aide | 216 S Schenley Ave, Youngstown, OH 44509 | 2020-06-08 |
| 1619596707 | Adrian Leondra Allen | Technician | 34 S. Hazelwood Ave, Youngstown, OH 44509 | 2020-04-09 |
| 1851811152 | Grace Services, Inc. | Public Health or Welfare | 715 N Meridian Road, Youngstown, OH 44509 | 2017-06-27 |
| 1093260689 | Laticia Ruberto | Counselor | 527 N, Meridian Rd, Youngstown, OH 44509 | 2016-08-24 |
| 1154705275 | Debbie Taylor | Counselor | 527 N. Meridian Road, Youngstown, OH 44509 | 2015-07-18 |
| 1043552680 | Robinette Patrice Dawson | Home Health | 218 S Portland Ave, Youngstown, OH 44509 | 2013-03-21 |
| 1194097006 | Jonnelle L Ballard | Licensed Practical Nurse | 970 S Belle Vista Ave, Youngstown, OH 44509 | 2012-02-08 |
| 1740565548 | Elias Emile Boulos Jr. | Pharmacist | 40 North Meridian Rd, Youngstown, OH 44509 | 2011-10-13 |
| 1508067356 | Ruby R Grover | Social Worker | 527 N Meridian Road, Youngstown, OH 44509 | 2007-05-30 |
| Find all providers in zip 44509 | ||||
| Taxonomy Code | 310400000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Assisted Living Facility |
| 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. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982203378 | Anna Robinson | Assisted Living Facility | 626 W Judson Ave, Youngstown, OH 44511-3256 | 2020-10-18 |
| 1710129887 | Brookdale Senior Living Communities Inc | Assisted Living Facility | 2300 Canfield Rd, Youngstown, OH 44511-2980 | 2009-04-03 |
| 1275739450 | Omni Manor, Inc. | Assisted Living Facility | 1353 Churchill Hubbard Rd, Youngstown, OH 44505-1380 | 2007-06-25 |
| 1770601833 | Victoria House Senior Living Center LLC | Assisted Living Facility | 5295 Ashley Cir, Youngstown, OH 44515-1160 | 2007-03-27 |
| 1255459434 | Schenley Management Inc. | Assisted Living Facility | 3150 S Schenley Ave, Youngstown, OH 44511-2862 | 2007-03-27 |
| 1356468946 | Levy Gardens | Assisted Living Facility | 584 Granada Ave, Youngstown, OH 44505-2422 | 2007-03-26 |
| 1851335145 | Sateri Home Inc & Subsidiaries | Assisted Living Facility | 960 Boardman Canfield Rd, Youngstown, OH 44512-4220 | 2006-06-16 |
| 1053308577 | Edj LLC | Assisted Living Facility | 461 S Canfield Niles Rd, Youngstown, OH 44515-4022 | 2005-09-30 |
| 1952965428 | Ohio Living Communities | Assisted Living Facility | 1216 5th Ave, Youngstown, OH 44504-1605 | 2019-04-30 |
| 1710486014 | S Meridian Leasing Co., LLC | Assisted Living Facility | 650 S Meridian Rd, Youngstown, OH 44509-2932 | 2018-02-02 |
| Find all providers in YOUNGSTOWN | ||||
| City | YOUNGSTOWN |
| Zip Code | 44509 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.