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LIBERTY ARMS ASSISTED LIVING RESIDENCE
NPI 1275739450
Assisted Living Facility in Youngstown, OH

Active since June 25, 2007CLIA 36D2284045 · Waiver
1353 CHURCHILL HUBBARD RD, YOUNGSTOWN, OH 44505(330) 759-2893(330) 759-2920 Get Directions Write a Review

NPPES record last updated: June 18, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Liberty Arms Assisted Living Residence NPPES

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

LIBERTY ARMS ASSISTED LIVING RESIDENCE (NPI 1275739450) is a healthcare organization registered as an assisted living facility in Youngstown, Ohio and active in the NPI registry since June 2007. The organization holds a CLIA Waiver certificate valid through June 14, 2027 and lists Jodi Mitchell, Director, as its authorized official.

NPPES Registry Identity

NPI1275739450
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameOMNI MANOR, INC.
Location Address1353 CHURCHILL HUBBARD RDYoungstown, OH 44505-1380
Mailing Address1353 Churchill Hubbard RdYoungstown, OH 44505-1380 · (330) 759-2893 · Fax (330) 759-2920
Phone(330) 759-2893
Fax(330) 759-2920
Organization SubpartNo
Authorized OfficialJodi MitchellDirector · (330) 759-2893
Enumeration DateJune 25, 2007
Last NPPES UpdateJune 18, 2008
✔ NPI 1275739450 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 · 5639
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.
1353 CHURCHILL HUBBARD RD, Youngstown, OH 44505
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Other Names 1

Other NameLiberty Arms Assisted Living Residence

Other Identifiers 2

Other5639OH · State License Number
Other2113ROH · State Facility Number

CLIA Laboratory Certificates CMS CLIA

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 36D2284045

Liberty Arms Assisted Living · Youngstown, OH
Active · expires Jun 14, 2027
CLIA Number36D2284045
Laboratory TypeAssisted Living Facility
Certificate Effective DateJune 15, 2025
Certificate Expiration DateJune 14, 2027
Laboratory DirectorBrandy Cumberlin
Laboratory Phone(330) 759-2893
Laboratory LocationLiberty Arms Assisted Living1353 Churchill-Hubbard Rd, Youngstown, OH 44505
CLIA data matches this NPI record on: Address Name Phone
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 1275739450. It was assigned to this organization in the NPPES registry on June 25, 2007. The provider is also known as Liberty Arms Assisted Living Residence.

Where is Omni Manor, Inc. located?

Omni Manor, Inc. is located at 1353 Churchill Hubbard Rd, Youngstown, OH 44505. The listed phone number is (330) 759-2893.

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 a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 36D2284045) is associated with this NPI, valid through June 14, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

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.