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

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: July 19, 2026.

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 a CLIA Waiver certificate valid through August 31, 2026 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 Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
36D0342097
Facility Type
Skilled Nursing Facility/Nursing Facility
Certificate Effective Date
September 01, 2024
Certificate Expiration Date
August 31, 2026
Laboratory Director
THOMAS SEMPLE
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Omni West Assisted Living Residence to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

Reviews for OMNI WEST ASSISTED LIVING RESIDENCE

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Frequently Asked Questions

What is OMNI MANOR, INC.'s NPI number?

The NPI number assigned to this healthcare provider is 1205049160, enumerated as an "organization" on May 08, 2007.

Where is the provider located?

The provider is located at 3259 VESTAL RD YOUNGSTOWN, OH 44509 and the phone number is (330) 793-4404.

What is the provider's specialty?

Assisted Living Facility with taxonomy code 310400000X.

What insurance does OMNI MANOR, INC. accept?

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.