OMNI MANOR, INC. (NPI# 1902816739) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902816739 |
| Entity Type | Organization |
| Organization Name | OMNI MANOR, INC. |
| Other Organization Name | OMNI MANOR HEALTH CARE CENTER |
| Practice Address |
3245 Vestal Rd Youngstown OH 44509-1062 |
| Mailing Address |
101 W Liberty St Girard OH 44420-2844 |
| Practice Telephone | 3307935648 |
| Practice Fax Number | 3307934303 |
| Mailing Telephone | 3305451550 |
| Mailing Fax Number | 3305452444 |
| Enumeration Date | 2006-08-08 |
| Last Update Date | 2008-01-22 |
| Authorized Official Name | MR. JOHN J MASTERNICK (OWNER) |
| Authorized Official Telephone | 3305451550 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 0416722 | 05 |
| Other Name | Type Code |
|---|---|
| Omni Manor Health Care Center | Doing Business As Name - 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 |
| 1205049160 | Omni Manor, Inc. | Assisted Living Facility | 3259 Vestal Rd, Youngstown, OH 44509-1062 | 2007-05-08 |
| 1295745032 | Omni Manor, Inc. | Skilled Nursing Facility | 95 Black Dr, Doylestown, OH 44230-1374 | 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 |
3245 VESTAL RD |
| City | YOUNGSTOWN |
| State | OH |
| Zip Code | 44509-1062 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194197772 | Cara Poli | Occupational Therapist | 3245 Vestal Rd, Youngstown, OH 44509-1062 | 2015-10-22 |
| 1942323498 | Ramon Lim | Physical Therapist | 3245 Vestal Rd, Youngstown, OH 44509-1062 | 2007-04-09 |
| 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 | 314000000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Skilled Nursing Facility |
| (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis. |
| Notes: Source: (1) "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 64; (2) AHA Guide, 1996 Annual Survey. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720587785 | Canfield Leasing Co., LLC | Skilled Nursing Facility | 2958 Canfield Road, Youngstown, OH 44511 | 2018-02-06 |
| 1275758666 | Danridge Nursing Home Inc | Skilled Nursing Facility | 31 Maranatha Ct, Youngstown, OH 44505-4970 | 2007-04-13 |
| 1093808529 | Shepherd of The Valley Lutheran Retirement Services, Inc. | Skilled Nursing Facility | 7148 West Blvd., Youngstown, OH 44512-4336 | 2006-10-02 |
| 1508967084 | Camelot Arms Care Center, Inc. | Skilled Nursing Facility | 2958 Canfield Rd, Youngstown, OH 44511-2805 | 2006-09-26 |
| 1194826644 | Essex Healthcare Corporation | Skilled Nursing Facility | 650 S Meridian Rd, Youngstown, OH 44509-2932 | 2006-09-26 |
| 1528078342 | Omni Manor, Inc. | Skilled Nursing Facility | 1735 Belmont Ave, Youngstown, OH 44504-1111 | 2006-08-08 |
| 1720098460 | Liberty Health Care Center, Inc. | Skilled Nursing Facility | 1355 Churchill Hubbard Rd, Youngstown, OH 44505-1346 | 2006-08-08 |
| 1861419814 | Youngstown Area Jewish Federation | Skilled Nursing Facility | 517 Gypsy Ln, Youngstown, OH 44504-1314 | 2006-07-16 |
| 1760419915 | Burgundi Manor Operating Company, LLC | Skilled Nursing Facility | 31 Marantha Drive, Youngstown, OH 44505-4505 | 2006-06-26 |
| 1982649869 | Carrington South Healthcare Center | Skilled Nursing Facility | 850 E Midlothian Blvd, Youngstown, OH 44502 | 2006-06-17 |
| 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.