NPIMap

Organization Active NPI

Omni Manor, Inc.

Doing business as Doylestown Health Care Center

  • Skilled Nursing Facility
  • Doylestown, OH
National Provider Identifier
1295745032
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.
Doing business as
Doylestown Health Care Center
Practice address
95 Black Dr
Doylestown, OH 44230-1374
Phone
(330) 658-2061
Fax
(330) 658-3332
NPI assigned
Aug 8, 2006
Last updated
Jan 22, 2008By the provider in NPPES
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 NU Primary

Addresses

Primary practice location

95 Black Dr
Doylestown, OH 44230-1374

Mailing address

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

Other identifiers 1

IdentifierTypeStateIssuer
0663947MedicaidOH

Other names 1

  • Doylestown Health Care Center Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100505000463 OH Part A Provider - Skilled Nursing Facility 5597677344 Practice locations: Doylestown, OH

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1295745032. Details of each certification follow.

Skilled nursing facility certification: CCN 365695

Legal name
OMNI MANOR, INC.
Doing business as
DOYLESTOWN HEALTH CARE CENTER
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
May 18, 1987
Last certification
Sep 12, 2024
Beds
78
Ownership / control type
Corporation
Multi-facility organization
Windsor House Corporation
Organization structure
CorporationProprietary
Incorporated
Jun 12, 1978 in OH
Enrollment address
95 Black Dr
Doylestown, OH 44230-1374
Nursing home name
DOYLESTOWN HEALTH CARE 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
Doylestown Health Care CenterCCN 365695 · All quality measures
Overall star rating
3 of 5
Health inspections
2 of 5
Staffing
3 of 5
Quality measures
5 of 5
Type
Medicare and Medicaid
Ownership
For profit - Corporation
Certified
May 18, 1987
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
7853.4 residents per day on average
Chain
Windsor House, Inc.11 facilities in the chain

Processed by Care Compare on Aug 1, 2026.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
36D0868296Doylestown Health Care Center95 Black Drive, Doylestown, OH 44230Certificate of waiverAug 31, 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.

Locations

29 E Liberty St
Girard, OH 44420

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
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
Individual Adp of the SNF Apr 1, 2014
Individual Adp of the SNF Apr 1, 2014
Freeland G Oliverio Individual Adp of the SNF Dec 15, 1999
John J Masternick Individual 5% Or Greater Direct Ownership Interest Mar 31, 2009 100%
Corporate OfficerPresident Mar 31, 1996 100%
Corporate DirectorPresident Mar 31, 2009 100%
Operational/Managerial ControlPresident Apr 1, 2014 100%
Adp of the SNF Apr 1, 2014
Toni Montgomery Individual Operational/Managerial Control Oct 10, 2022
Adp of the SNF Oct 10, 2022

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 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

Affiliated clinicians 3

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": "1295745032",
    "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": "95 BLACK DR",
            "city": "DOYLESTOWN",
            "state": "OH",
            "postal_code": "442301374",
            "telephone_number": "330-658-2061",
            "fax_number": "330-658-3332"
        }
    ],
    "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": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0663947",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Doylestown Health Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Doylestown, OH

Sources for this page

Verify at the official NPI Registry.