NPIMap

Organization Active NPI

Omni Manor, Inc.

  • Skilled Nursing Facility
  • Columbiana, OH
National Provider Identifier
1285644906
Registry record updated Jan 22, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
OMNI MANOR, INC.
Practice address
1899 W Garfield Rd
Columbiana, OH 44408-9785
Phone
(330) 549-9259
Fax
(330) 549-0765
NPI assigned
Aug 8, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. John J Masternick
Title
Owner
Phone
(330) 545-1550

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

1899 W Garfield Rd
Columbiana, OH 44408-9785

Mailing address

101 W Liberty St
Girard, OH 44420-2844
Phone (330) 545-1550

Other identifiers 1

IdentifierTypeStateIssuer
0720385MedicaidOH

Other names 1

  • St. Mary's Alzheimer Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120510000550 OH Part A Provider - Skilled Nursing Facility 5597677344 Practice locations: Columbiana, OH

Skilled nursing facility certification: CCN 365715

Legal name
OMNI MANOR, INC.
Doing business as
ST MARYS ALZHEIMERS CENTER
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Oct 20, 1988
Last certification
Oct 24, 2024
Beds
90
Ownership / control type
Corporation
Multi-facility organization
Windsor House Inc
Organization structure
CorporationProprietary
Incorporated
Jan 29, 1999 in OH
Enrollment address
1899 Garfield Rd
Columbiana, OH 44408
Nursing home name
ST MARY'S ALZHEIMER'S CENTER
Affiliated entity
WINDSOR HOUSE, INC.

Other NPIs with the same Medicare PAC ID 8

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Care Compare: Nursing home

Medicare Care Compare
Listed as
St Mary'S Alzheimer'S CenterCCN 365715
Overall star rating
4 of 5
Health inspections
3 of 5
Staffing
4 of 5
Quality measures
5 of 5
Type
Medicare and Medicaid
Ownership
For profit - Corporation
Certified
Oct 20, 1988
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
9076.4 residents per day on average
Chain
Windsor House, Inc.11 facilities in the chain
Penalties (3 years)
1Fines totaling $66,973

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory
Tax ID family
Omni Manor Inc13 organizations share this tax ID, including this one

Other organizations with this tax ID 12

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

All disclosed owners & managing parties 6

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Miriam Maughan Individual Adp of the SNF Sep 1, 2003
John P Daliman Individual Adp of the SNF Apr 1, 2014
Windsor House Inc. Organization, Girard, OH Corporation, Management services company, For-profit Operational/Managerial Control Apr 1, 2014
Adp of the SNF Mar 25, 2025
James Charles Demidovich Individual Adp of the SNF Oct 30, 2003
John J Masternick Individual 5% Or Greater Direct Ownership Interest Apr 1, 2014 100%
Corporate OfficerPresident/Secretary Apr 1, 2014
Corporate DirectorPresident/Secretary Apr 1, 2014 100%
Operational/Managerial ControlPresident/Secretary Apr 1, 2014
Adp of the SNF Apr 1, 2014
Kenneth R James Individual Adp of the SNF Apr 1, 2014

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Burton Health Care CenterBurton, OH, CCN 366092 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Adp of the SNF		 Oct 28, 1996
Jul 31, 2025
Liberty Health Care CenterYoungstown, OH, CCN 366113 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Adp of the SNF		 Aug 17, 1995
Apr 1, 2014

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Facilities with the same owner 7

Facilities that share an organizational owner with 5% or greater ownership or operational control.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Affiliated clinicians 1

Clinicians who list this facility as an affiliation in Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1154995200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1200960000000",
    "number": "1285644906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 W LIBERTY ST",
            "city": "GIRARD",
            "state": "OH",
            "postal_code": "444202844",
            "telephone_number": "330-545-1550",
            "fax_number": "330-545-2444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1899 W GARFIELD RD",
            "city": "COLUMBIANA",
            "state": "OH",
            "postal_code": "444089785",
            "telephone_number": "330-549-9259",
            "fax_number": "330-549-0765"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OMNI MANOR, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-08",
        "last_updated": "2008-01-22",
        "status": "A",
        "authorized_official_last_name": "MASTERNICK",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "330-545-1550",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0720385",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "St. Mary's Alzheimer Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Columbiana, OH

Sources for this page

Verify at the official NPI Registry.