NPIMap

Organization Active NPI

Omni Manor, Inc.

  • Skilled Nursing Facility
  • Canfield, OH
National Provider Identifier
1366960320
Registry record updated Feb 15, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
OMNI MANOR, INC.
Practice address
6445 State Route 446
Canfield, OH 44406-8475
Phone
(330) 967-4080
Fax
(330) 967-4103
NPI assigned
Aug 30, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2018

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/President
Phone
(330) 545-1550

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

6445 State Route 446
Canfield, OH 44406-8475

Mailing address

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

Other identifiers 1

IdentifierTypeStateIssuer
0250097MedicaidOH

Other names 1

  • Windsor House At Canfield Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20171024001229 OH Part A Provider - Skilled Nursing Facility 5597677344 Practice locations: Canfield, OH

Skilled nursing facility certification: CCN 366460

Legal name
OMNI MANOR, INC.
Doing business as
CANFIELD ACRES COMPANY LLC DBA WINDSOR HOUSE AT CANFIELD
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Dec 7, 2017
Last certification
Apr 6, 2023
Beds
96
Ownership / control type
Corporation
Multi-facility organization
Windsor House Inc.
Organization structure
CorporationProprietary
Incorporated
Jun 12, 1978 in OH
Enrollment address
6445 State Route 446
Canfield, OH 44406-8475
Nursing home name
CANFIELD ACRES LLC DBA WINDSOR HOUSE AT CANFIELD
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
Canfield Acres LLC Dba Windsor House at CanfieldCCN 366460
Overall star rating
4 of 5
Health inspections
4 of 5
Staffing
4 of 5
Quality measures
3 of 5
Type
Medicare and Medicaid
Ownership
For profit - Corporation
Certified
Dec 7, 2017
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
9669.8 residents per day on average
Chain
Windsor House, Inc.11 facilities in the chain

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.

Locations

6445 State Route 446
Canfield, OH 44406
Phone (330) 967-4080

563 Brookfield Ave
Masury, OH 44438
Phone (330) 448-0782

3245 Vestal Rd
Youngstown, OH 44509
Phone (330) 792-7799

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
John P Daliman Individual Corporate OfficerLegal Officer Apr 1, 2014
Adp of the SNF Sep 1, 2017
Paul Fabian Individual Operational/Managerial Control Sep 14, 2017
Adp of the SNF Sep 14, 2017
Organization, Canfield, OH Corporation, Management services company, For-profit Adp of the SNF Mar 23, 2025
Tolga Icli Individual Adp of the SNF Sep 14, 2017
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
Operational/Managerial ControlPresident/Secretary Apr 1, 2014
Adp of the SNF Apr 1, 2014
Kenneth R James Individual Corporate OfficerCfo Apr 1, 2014
Adp of the SNF Sep 1, 2017

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.

Practitioners & affiliated clinicians

Practitioners 6

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": "1504051200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1518652800000",
    "number": "1366960320",
    "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": "6445 STATE ROUTE 446",
            "city": "CANFIELD",
            "state": "OH",
            "postal_code": "444068475",
            "telephone_number": "330-967-4080",
            "fax_number": "330-967-4103"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OMNI MANOR, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-30",
        "last_updated": "2018-02-15",
        "status": "A",
        "authorized_official_last_name": "MASTERNICK",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "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": "0250097",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Windsor House At Canfield",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Windsor House At Canfield",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Canfield, OH

Sources for this page

Verify at the official NPI Registry.