NPIMap

Organization Active NPI

Omni Manor, Inc.

  • Skilled Nursing Facility
  • Warren, OH
National Provider Identifier
1477563120
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
200 Glendola Ave NW
Warren, OH 44483-1247
Phone
(330) 847-6266
Fax
(330) 847-6766
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

200 Glendola Ave NW
Warren, OH 44483-1247

Mailing address

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

Other identifiers 1

IdentifierTypeStateIssuer
2422480MedicaidOH

Other names 1

  • Windsor House At Champion Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20031022000024 OH Part A Provider - Skilled Nursing Facility 5597677344 Practice locations: Warren, OH

Skilled nursing facility certification: CCN 366281

Legal name
OMNI MANOR, INC.
Doing business as
WINDSOR HOUSE AT CHAMPION
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Oct 1, 2003
Last certification
Jan 9, 2025
Beds
100
Ownership / control type
Corporation
Multi-facility organization
Omni Manor Inc
Organization structure
CorporationProprietary
Incorporated
Jun 12, 1978 in OH
Enrollment address
200 Glendola
Warren, OH 44483-1295
Nursing home name
WINDSOR HOUSE AT CHAMPION
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
Windsor House at ChampionCCN 366281
Overall star rating
3 of 5
Health inspections
3 of 5
Staffing
2 of 5
Quality measures
3 of 5
Type
Medicare and Medicaid
Ownership
For profit - Corporation
Certified
Oct 1, 2003
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
10096.4 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

200 Glendola Ave NW
Warren, OH 44483
Phone (330) 847-6266

Ownership & related parties

All disclosed owners & managing parties 8

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

NameRoleSinceShare
Zachary F Veres Individual Adp of the SNF Jan 6, 2025
Linda Sardich Individual Operational/Managerial Control Oct 23, 2023
Adp of the SNF Oct 23, 2023
John P Daliman Individual Corporate DirectorBoard Member Sep 30, 2003
Adp of the SNF Sep 1, 2003
Frank Veres Individual Adp of the SNF Aug 20, 2003
Windsor House Inc. Organization, Girard, OH Corporation, Management services company, For-profit, Chain home office, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Apr 1, 2014 100%
Operational/Managerial Control Apr 1, 2014
Adp of the SNF Jul 23, 2025
John J Masternick Individual 5% Or Greater Direct Ownership InterestPresident/Ceo Sep 3, 2003 100%
Corporate OfficerPresident/Ceo Sep 3, 2003 100%
Corporate DirectorPresident/Ceo Sep 3, 2003 100%
Operational/Managerial Control Sep 3, 2003
Adp of the SNF Apr 1, 2014
Kenneth R James Individual Corporate DirectorBoard Member Sep 30, 2003
Operational/Managerial Control Sep 3, 2003
Adp of the SNF Sep 1, 2003
David Knapik Individual Operational/Managerial Control Apr 1, 2014
Adp of the SNF Apr 1, 2014

Owners & managing parties with NPI records 2

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 2

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": "1477563120",
    "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": "200 GLENDOLA AVE NW",
            "city": "WARREN",
            "state": "OH",
            "postal_code": "444831247",
            "telephone_number": "330-847-6266",
            "fax_number": "330-847-6766"
        }
    ],
    "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": "2422480",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Windsor House At Champion",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Warren, OH

Sources for this page

Verify at the official NPI Registry.