OMNI MANOR, INC. (NPI# 1275739450) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1275739450 |
Entity Type | Organization |
Organization Name | OMNI MANOR, INC. |
Other Organization Name | LIBERTY ARMS ASSISTED LIVING RESIDENCE |
Practice Address |
1353 Churchill Hubbard Rd Youngstown OH 44505-1380 |
Practice Telephone | 3307592893 |
Practice Fax Number | 3307592920 |
Mailing Telephone | 3307592893 |
Mailing Fax Number | 3307592920 |
Enumeration Date | 2007-06-25 |
Last Update Date | 2008-06-18 |
Authorized Official Name | JODI MITCHELL (DIRECTOR) |
Authorized Official Telephone | 3307592893 |
Authorized Official Credential | RN |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 310400000X | Assisted Living Facility | 5639 | OH | Nursing & Custodial Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
OH | STATE LICENSE NUMBER | 5639 | 01 |
OH | STATE FACILITY NUMBER | 2113R | 01 |
Other Name | Type Code |
---|---|
LIBERTY ARMS 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 |
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 |
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 |
1353 CHURCHILL HUBBARD RD |
City | YOUNGSTOWN |
State | OH |
Zip Code | 44505-1380 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1558924365 | Kristina Terlecki | Massage Therapist | 32 Goldie Rd., Youngstown, OH 44505 | 2019-04-17 |
1669937108 | Melissa Ann Brian | Registered Nurse | 615 Churchill - Hubbard Rd., Youngstown, OH 44505 | 2019-02-08 |
1902376742 | Shamara Golden | Specialist/Technologist | 3415 5th Ave, Youngstown, OH 44505 | 2018-12-04 |
1366912933 | Valor Recovery Center | Substance Abuse Rehabilitation Facility | 45 North Canfield Niles Road, Youngstown, OH 44505 | 2018-11-27 |
1104333798 | Sherrell Lynn Moorer | Case Manager/Care Coordinator | 3164 Eastview Drive, Youngstown, OH 44505 | 2018-01-04 |
1154875888 | Aba Therapy Solutions | Community/Behavioral Health | 125 Churchill-hubbard Rd, Youngstown, OH 44505 | 2016-08-10 |
1871721530 | Wal-mart Stores, Inc. | Eyewear Supplier (Equipment, not the service) | 200 Goldie Road, Youngstown, OH 44505 | 2009-07-01 |
1538254149 | Robert F. Accordino | Physical Therapist | 4531 Belmont Ave., Suite 5, Youngstown, OH 44505 | 2006-10-03 |
1659465862 | Union Eyes Optical, Inc | Technician/Technologist | 229 Churchill-hubbard Rd, Youngstown, OH 44505 | 2006-10-03 |
1124080239 | Giovanna Vinci-khoury | Specialist | 4970 Belmont Ave, Youngstown, OH 44505 | 2006-04-04 |
Find all providers in zip 44505 |
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 |
1205049160 | Omni Manor, Inc. | Assisted Living Facility | 3259 Vestal Rd, Youngstown, OH 44509-1062 | 2007-05-08 |
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 | 44505 |
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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.