NPIMap

Organization Active NPI

Liberty Health Care Center, Inc.

Doing business as Liberty Health Care Center

  • Skilled Nursing Facility
  • Youngstown, OH
National Provider Identifier
1720098460
Registry record updated Jan 22, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
LIBERTY HEALTH CARE CENTER, INC.
Doing business as
Liberty Health Care Center
Practice address
1355 Churchill Hubbard Rd
Youngstown, OH 44505-1346
Phone
(330) 759-7858
Fax
(330) 759-7285
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

1355 Churchill Hubbard Rd
Youngstown, OH 44505-1346

Mailing address

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

Other identifiers 1

IdentifierTypeStateIssuer
0393293MedicaidOH

Other names 1

  • Liberty 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
O20100513000584 OH Part A Provider - Skilled Nursing Facility 9133257090 Practice locations: Youngstown, OH

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1720098460. Details of each certification follow.

Skilled nursing facility certification: CCN 366113

Legal name
LIBERTY HEALTH CARE CENTER, INC.
Doing business as
LIBERTY HEALTH CARE CENTER
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Dec 16, 1996
Last certification
May 2, 2024
Beds
110
Ownership / control type
Corporation
Multi-facility organization
Windsor House Inc.
Organization structure
CorporationProprietary
Incorporated
Aug 17, 1995 in OH
Enrollment address
1355 Churchill Hubbard Rd
Youngstown, OH 44505-1346
Nursing home name
LIBERTY HEALTH CARE CENTER INC
Affiliated entity
WINDSOR HOUSE, INC.

Care Compare: Nursing home

Medicare Care Compare
Listed as
Liberty Health Care Center IncCCN 366113 · All quality measures
Overall star rating
2 of 5
Health inspections
2 of 5
Staffing
3 of 5
Quality measures
4 of 5
Type
Medicare and Medicaid
Ownership
For profit - Corporation
Certified
Dec 16, 1996
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
11099.8 residents per day on average
Chain
Windsor House, Inc.11 facilities in the chain
Penalties (3 years)
2Fines totaling $83,401

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
36D0929883Liberty Health Care Center Inc1355 Churchill Hubbard Road, Youngstown, OH 44505Certificate of waiverJun 24, 2027

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

1355 Churchill Hubbard Rd
Youngstown, OH 44505
Phone (330) 759-7858

Ownership & related parties

All disclosed owners & managing parties 7

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 OfficerChief Legal Officer Apr 1, 2014
Operational/Managerial Control Apr 1, 2014
Adp of the SNF Apr 1, 2014
John P Delliquadri Individual Adp of the SNF Dec 3, 1996
Windsor House Inc. Organization, Girard, OH Corporation, Management services company, For-profit Operational/Managerial Control Apr 1, 2014
Adp of the SNF Jul 16, 2025
Kimberly Haurin Individual Adp of the SNF Sep 12, 2024
Omni Manor, Inc. Organization, Girard, OH Corporation, Owned by another organization or individual 5% Or Greater Direct Ownership Interest Aug 17, 1995 100%
Adp of the SNF Apr 1, 2014
John J Masternick Individual 5% Or Greater Indirect Ownership Interest Aug 17, 1995 12%
Corporate OfficerPres Aug 17, 1995
Corporate DirectorPres Aug 17, 1995
Operational/Managerial ControlPres Apr 1, 2014
Adp of the SNF Apr 1, 2014
Kenneth R James Individual Corporate OfficerCfo Apr 1, 2014
Operational/Managerial Control Apr 1, 2014
Adp of the SNF Apr 1, 2014

Owners & managing parties with NPI records 10

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

  • John Phillip Delliquadri, DO
    • Family Medicine Physician
    • Girard, OH
    • NPI 1619938669

    Adp of the SNF

    CMS ownership
  • Omni Manor, Inc.

    dba St. Mary's Alzheimer Center

    • Skilled Nursing Facility
    • Columbiana, OH
    • NPI 1285644906

    5% Or Greater Direct Ownership Interest, Adp of the SNF

    CMS ownership
  • Omni Manor, Inc.

    dba Doylestown Health Care Center

    • Skilled Nursing Facility
    • Doylestown, OH
    • NPI 1295745032

    5% Or Greater Direct Ownership Interest, Adp of the SNF

    CMS ownership
  • Omni Manor, Inc.

    dba Windsor House At Canfield

    • Skilled Nursing Facility
    • Canfield, OH
    • NPI 1366960320

    5% Or Greater Direct Ownership Interest, Adp of the SNF

    CMS ownership
  • Omni Manor, Inc.

    dba Windsor House At Champion

    • Skilled Nursing Facility
    • Warren, OH
    • NPI 1477563120

    5% Or Greater Direct Ownership Interest, Adp of the SNF

    CMS ownership
  • Omni Manor, Inc.
    • Skilled Nursing Facility
    • New Middletown, OH
    • NPI 1497994610

    5% Or Greater Direct Ownership Interest, Adp of the SNF

    CMS ownership
  • Omni Manor, Inc.

    dba Guardian Health Care Center

    • Skilled Nursing Facility
    • Youngstown, OH
    • NPI 1528078342

    5% Or Greater Direct Ownership Interest, Adp of the SNF

    CMS ownership
  • Omni Manor, Inc.

    dba Parkside Health Care Center

    • Skilled Nursing Facility
    • Columbiana, OH
    • NPI 1790795201

    5% Or Greater Direct Ownership Interest, Adp of the SNF

    CMS ownership
  • Omni Manor, Inc.

    dba Omni Manor Health Care Center

    • Skilled Nursing Facility
    • Youngstown, OH
    • NPI 1902816739

    5% Or Greater Direct Ownership Interest, Adp of the SNF

    CMS ownership
  • Omni Manor, Inc.

    dba O'Brien Memorial Health Care Center

    • Skilled Nursing Facility
    • Masury, OH
    • NPI 1942210760

    5% Or Greater Direct Ownership Interest, Adp of the SNF

    CMS ownership

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, and the practitioner matching its NPPES authorized official.

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": "1720098460",
    "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": "1355 CHURCHILL HUBBARD RD",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "445051346",
            "telephone_number": "330-759-7858",
            "fax_number": "330-759-7285"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIBERTY HEALTH CARE CENTER, 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": "0393293",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Liberty Health Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Youngstown, OH

Sources for this page

Verify at the official NPI Registry.