NPIMap

Organization Active NPI

Omni Manor, Inc.

  • Skilled Nursing Facility
  • New Middletown, OH
National Provider Identifier
1497994610
Registry record updated Dec 31, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
OMNI MANOR, INC.
Practice address
5250 Windsor Way
New Middletown, OH 44442
Phone
(330) 542-9542
Fax
(330) 542-9987
NPI assigned
Feb 11, 2009
Last updated
Dec 31, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 31, 2014

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

Authorized official

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

5250 Windsor Way
New Middletown, OH 44442

Mailing address

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

Other identifiers 1

IdentifierTypeStateIssuer
2947360MedicaidOH

Other names 1

  • Masternick Memorial Health Care Center Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090812000541 OH Part A Provider - Skilled Nursing Facility 5597677344 Practice locations: New Middletown, OH

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1497994610. Details of each certification follow.

Skilled nursing facility certification: CCN 366375

Legal name
OMNI MANOR, INC.
Doing business as
MASTERNICK MEMORIAL HEALTH CARE CENTER
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Jul 1, 2009
Last certification
Mar 6, 2025
Beds
99
Ownership / control type
Corporation
Multi-facility organization
Windsor House Inc
Organization structure
CorporationProprietary
Incorporated
Jun 12, 1978 in OH
Enrollment address
5250 Windsor Way
New Middletown, OH 44442-7746
Nursing home name
MASTERNICK MEMORIAL 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
Masternick Memorial Health Care CenterCCN 366375 · All quality measures
Overall star rating
4 of 5
Health inspections
4 of 5
Staffing
4 of 5
Quality measures
4 of 5
Type
Medicare and Medicaid
Ownership
For profit - Corporation
Certified
Jul 1, 2009
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
9984.4 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
36D1095742Masternick Memorial Health Care Center5250 Windsor Way, New Middletown, OH 44442Certificate of waiverFeb 16, 2027

National Provider Directory

National Provider Directory

Member organizations 3

Organizations listed as members of this organization 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
Joseph B Masternick Individual Adp of the SNF Jul 20, 2009
John P Daliman Individual Adp of the SNF Apr 1, 2014
Frances Ruble Individual Adp of the SNF Oct 11, 2023
John J Masternick Individual 5% Or Greater Direct Ownership InterestCeo/President Mar 31, 2009 100%
Corporate OfficerPresident Aug 17, 1995
Corporate DirectorPresident Aug 17, 1995
Operational/Managerial ControlPresident Apr 1, 2014
Adp of the SNF Apr 1, 2014
Kenneth R James Individual Adp of the SNF Apr 1, 2014
Organization, Girard, OH Corporation, Management services company, For-profit Adp of the SNF Mar 21, 2025

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 2

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 2

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": "1234310400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1419984000000",
    "number": "1497994610",
    "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": "5250 WINDSOR WAY",
            "city": "NEW MIDDLETOWN",
            "state": "OH",
            "postal_code": "44442",
            "telephone_number": "330-542-9542",
            "fax_number": "330-542-9987"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OMNI MANOR, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-11",
        "last_updated": "2014-12-31",
        "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.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2947360",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Masternick Memorial Health Care Center",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in New Middletown, OH

Sources for this page

Verify at the official NPI Registry.