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Omni Manor, Inc.

Omni Manor, Inc. is a healthcare organization registered as Skilled Nursing Facility in Warren, OH, holding Type 2 (organization) NPI 1477563120 since 2006. The authorized official on file is John Masternick, Owner.

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NPI 1477563120
Entity type Organization (Type 2)
Legal business name Omni Manor, Inc.
Other name <Unavail>
Practice address 200 GLENDOLA AVE NW, Warren, OH, 44483
Phone 3308476266
Fax 3308476766
Enumeration date 2006-08-08
Last updated in NPPES 2008-01-22

Authorized official

Name John Masternick
Title Owner
Phone 3305451550

Taxonomy & classification

Taxonomy code Specialty Primary License State
314000000X Skilled Nursing Facility Primary

Other identifiers

Identifier Type State Issuer
2422480 Medicaid OH
Copy-ready billing details
Provider: Omni Manor, Inc.
NPI: 1477563120
Taxonomy: 314000000X (Skilled Nursing Facility)
Address: 200 GLENDOLA AVE NW, Warren, OH, 44483

Providers at this address

NPI Name Type Specialty Location
1831508639 Kelly Bernhard Individual Physical Therapy Assistant Warren, OH
1598539777 Victor Cardarelli Individual Occupational Therapy Assistant Warren, OH

Verify this record

Cross-check NPI 1477563120 against the authoritative CMS record: view Omni Manor, Inc. on the official NPPES registry .

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.

Frequently asked questions

What is the NPI number for Omni Manor, Inc.?
The NPI for Omni Manor, Inc. is 1477563120, a Type 2 (organization) record in the CMS NPPES registry.
Who is the authorized official for Omni Manor, Inc.?
NPPES lists John Masternick (Owner) as the authorized official for this organization.

Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2008-01-22.