NPIMap

Organization Active NPI

Omni Manor, Inc.

Doing business as Omni Manor Health Care Center

  • Skilled Nursing Facility
  • Youngstown, OH
National Provider Identifier
1902816739
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
Omni Manor Health Care Center
Practice address
3245 Vestal Rd
Youngstown, OH 44509-1062
Phone
(330) 793-5648
Fax
(330) 793-4303
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 Primary

Addresses

Primary practice location

3245 Vestal Rd
Youngstown, OH 44509-1062

Mailing address

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

Other identifiers 1

IdentifierTypeStateIssuer
0416722MedicaidOH

Other names 1

  • Omni Manor 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
O20100603000420 OH Part A Provider - Skilled Nursing Facility 5597677344 Practice locations: Youngstown, OH

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1902816739. Details of each certification follow.

Skilled nursing facility certification: CCN 365433

Legal name
OMNI MANOR, INC.
Doing business as
OMNI MANOR HEALTH CARE CENTER
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Feb 29, 1980
Last certification
Aug 1, 2024
Beds
130
Ownership / control type
Corporation
Multi-facility organization
Omni Manor, Inc.
Organization structure
CorporationProprietary
Incorporated
Jun 12, 1978 in OH
Enrollment address
3245 Vestal Rd
Youngstown, OH 44509-1062
Nursing home name
OMNI MANOR NURSING HOME
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
Omni Manor Nursing HomeCCN 365433 · All quality measures
Overall star rating
4 of 5
Health inspections
3 of 5
Staffing
4 of 5
Quality measures
5 of 5
Type
Medicare and Medicaid
Ownership
For profit - Corporation
Certified
Feb 29, 1980
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
130111.9 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
36D0342097Omni Manor Health Care Center3245 Vestal Rd, Youngstown, OH 44509Certificate 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.

Member organizations 3

Organizations listed as members of this organization in the National Provider Directory.

Locations

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

Ownership & related parties

All disclosed owners & managing parties 4

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 Delliquadri Individual Adp of the SNF Mar 31, 1997
Windsor House Inc. Organization, Girard, OH Corporation, Management services company, For-profit Operational/Managerial Control Apr 1, 2014
Adp of the SNF Mar 24, 2025
John Misso Individual Adp of the SNF Sep 14, 2017
John J Masternick Individual 5% Or Greater Direct Ownership InterestPresident Feb 29, 1980 100%
Corporate OfficerPresident Feb 29, 1980
Corporate DirectorPresident Feb 29, 1980
Operational/Managerial ControlPresident Apr 1, 2014
Adp of the SNF Apr 1, 2014

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 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": "1154995200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1200960000000",
    "number": "1902816739",
    "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": "3245 VESTAL RD",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "445091062",
            "telephone_number": "330-793-5648",
            "fax_number": "330-793-4303"
        }
    ],
    "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": "0416722",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Omni Manor Health Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Youngstown, OH

Sources for this page

Verify at the official NPI Registry.