OMNI MANOR, INC. (NPI# 1366960320) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366960320 |
| Entity Type | Organization |
| Organization Name | OMNI MANOR, INC. |
| Other Organization Name | WINDSOR HOUSE AT CANFIELD |
| Practice Address |
6445 State Route 446 Canfield OH 44406-8475 |
| Mailing Address |
101 W Liberty St Girard OH 44420-2844 |
| Practice Telephone | 3309674080 |
| Practice Fax Number | 3309674103 |
| Mailing Telephone | 3305451550 |
| Mailing Fax Number | 3305452444 |
| Enumeration Date | 2017-08-30 |
| Last Update Date | 2018-02-15 |
| Authorized Official Name | MR. JOHN J. MASTERNICK (OWNER/PRESIDENT) |
| 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 | 0250097 | 05 |
| Other Name | Type Code |
|---|---|
| Windsor House At Canfield | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 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 |
| 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 |
6445 STATE ROUTE 446 |
| City | CANFIELD |
| State | OH |
| Zip Code | 44406-8475 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952802282 | Julie Nicole Austalosh | Case Manager/Care Coordinator | 3711 Indian Run Dr Apt 7, Canfield, OH 44406 | 2018-02-22 |
| 1073064887 | Abby Smith | Specialist/Technologist | 250 Lake Pointe Circle, Canfield, OH 44406 | 2016-10-17 |
| 1255887949 | Chris Smallwood II | Driver | 6128 St Andrews Dr, Canfield, OH 44406 | 2016-09-01 |
| 1831572064 | Gateways To Better Living | Intermediate Care Facility, Mentally Retarded | 41 Talsman Drive, Youngstown, OH 44406 | 2015-07-07 |
| 1568845790 | Gateways To Better Living | Intermediate Care Facility, Mentally Retarded | 3222 Forty Second Street, Youngstown, OH 44406 | 2015-07-07 |
| 1003212051 | Diane Pool | Registered Nurse | 100 Wadsworth Street, Canfield, OH 44406 | 2014-11-18 |
| 1215353990 | Jeanne Siverd | Occupational Therapy Assistant | 11300 Columbiana-canfield Rd., Suite E, Canfield, OH 44406 | 2014-03-05 |
| 1134565641 | Dema Halasa Esper | Dietitian, Registered | 52 Timber Run Dr., Canfield, OH 44406 | 2013-05-13 |
| 1851680615 | Kimberly Jean Fyock | Licensed Practical Nurse | 7720 Lydia Ln, Canfield, OH 44406 | 2011-04-01 |
| 1205060654 | Jennifer L Morris | Registered Nurse | 3787 Mercedes Place, Canfield, OH 44406 | 2009-05-13 |
| Find all providers in zip 44406 | ||||
| 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. |
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| Find all providers with the same taxonomy | ||||
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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.