OMNI WEST ASSISTED LIVING RESIDENCE
NPI 1205049160
Assisted Living Facility in Youngstown, OH

Q: What is Omni Manor, Inc.'s NPI number?

The NPI number for Omni Manor, Inc. is 1205049160. It was assigned to this organization in the NPPES registry on May 8, 2007. The provider is also known as Omni West Assisted Living Residence.

Q: What is Omni Manor, Inc.'s specialty?

The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.

Q: When was this NPI record last updated?

The NPPES record for Omni Manor, Inc. was last updated on June 18, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since May 08, 2007CLIA Certified · 2 labs

3259 VESTAL RD, YOUNGSTOWN, OH 44509(330) 793-4404(330) 793-0630 Get Directions Write a Review

NPPES record last updated: June 18, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Omni West Assisted Living Residence NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

OMNI WEST ASSISTED LIVING RESIDENCE (NPI 1205049160) is a healthcare organization registered as an assisted living facility in Youngstown, Ohio and active in the NPI registry since May 2007. The organization holds 2 active CLIA laboratory certificates and lists Madeline Louise D'agostino, Director, as its authorized official.

NPPES Registry Identity

NPI1205049160

Entity TypeOrganization

Primary Taxonomy310400000X

Legal Business NameOMNI MANOR, INC.

Location Address3259 VESTAL RDYoungstown, OH 44509-1062

Mailing Address3259 Vestal RdYoungstown, OH 44509-1062 · (330) 793-4404 · Fax (330) 793-0630

Phone(330) 793-4404

Fax(330) 793-0630

Organization SubpartNo

Authorized OfficialMadeline Louise D'agostinoDirector · (330) 793-4404

Enumeration DateMay 8, 2007

Last NPPES UpdateJune 18, 2008

✔ NPI 1205049160 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities

Taxonomy Code310400000X

License✔ Licensed in OH · 2022R

Definition

A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.

3259 VESTAL RD, Youngstown, OH 44509

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Other Names 1

Other NameOmni West Assisted Living Residence

Other Identifiers 1

Medicaid150284487OH

CLIA Laboratory Certificates CMS CLIA 2

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 36D2284046

Omni West Assisted Living · Youngstown, OH

Active · expires Jun 14, 2027

CLIA Number36D2284046

Laboratory TypeAssisted Living Facility

Certificate Effective DateJune 15, 2025

Certificate Expiration DateJune 14, 2027

Laboratory DirectorMarcia Tabor

Laboratory Phone(330) 793-4404

Laboratory LocationOmni West Assisted Living3259 Vestal Rd, Youngstown, OH 44509

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 36D0342097

Omni Manor Health Care Center · Youngstown, OH

Active · expires Aug 31, 2026

CLIA Number36D0342097

Laboratory TypeSkilled Nursing Facility/Nursing Facility

Certificate Effective DateSeptember 1, 2024

Certificate Expiration DateAugust 31, 2026

Laboratory DirectorThomas Semple

Laboratory Phone(216) 793-5648

Laboratory LocationOmni Manor Health Care Center3245 Vestal Rd, Youngstown, OH 44509

CLIA data matches this NPI record on: Name

This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Omni Manor, Inc.'s NPI number?

The NPI number for Omni Manor, Inc. is 1205049160. It was assigned to this organization in the NPPES registry on May 8, 2007. The provider is also known as Omni West Assisted Living Residence.

Where is Omni Manor, Inc. located?

Omni Manor, Inc. is located at 3259 Vestal Rd, Youngstown, OH 44509. The listed phone number is (330) 793-4404.

What is Omni Manor, Inc.'s specialty?

The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.

Does Omni Manor, Inc. hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Omni Manor, Inc. was last updated on June 18, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.