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WINDSOR HOUSE AT CHAMPION
NPI 1477563120
Skilled Nursing Facility in Warren, OH

Active since August 08, 2006CLIA 36D1017493 · Waiver
3/5
Overall Rating
200 GLENDOLA AVE NW, WARREN, OH 44483(330) 847-6266(330) 847-6766 Get Directions Write a Review

NPPES record last updated: January 22, 2008. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Windsor House At Champion NPPES

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

WINDSOR HOUSE AT CHAMPION (NPI 1477563120) is a healthcare organization registered as a skilled nursing facility in Warren, Ohio and active in the NPI registry since August 2006. The organization holds a CLIA Waiver certificate valid through September 25, 2027 and lists John J Masternick, Owner, as its authorized official.

NPPES Registry Identity

NPI1477563120
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameOMNI MANOR, INC.
Location Address200 GLENDOLA AVE NWWarren, OH 44483-1247
Mailing Address101 W Liberty StGirard, OH 44420-2844 · (330) 545-1550 · Fax (330) 545-2444
Phone(330) 847-6266
Fax(330) 847-6766
Organization SubpartNo
Authorized OfficialJohn J MasternickOwner · (330) 545-1550
Enumeration DateAugust 8, 2006
Last NPPES UpdateJanuary 22, 2008
✔ NPI 1477563120 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySkilled Nursing FacilityNursing & Custodial Care Facilities
Taxonomy Code314000000X
Definition
(1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis.
200 GLENDOLA AVE NW, Warren, OH 44483
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Other Names 1

Doing Business AsWindsor House At Champion

Other Identifiers 2

Medicaid2422480OH
Medicare ID-Type Unspecified366281OH · Medicare Provider Number

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, CareSource, UnitedHealthcare.Insurance ›

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 36D1017493

Windsor House At Champion · Warren, OH
Active · expires Sep 25, 2027
CLIA Number36D1017493
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateSeptember 26, 2025
Certificate Expiration DateSeptember 25, 2027
Laboratory DirectorPatricia Mills Rn Don
Laboratory Phone(330) 847-6266
Laboratory LocationWindsor House At Champion200 E Glendola Avenue, Warren, OH 44481
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Nursing Home Quality Ratings CMS Care Compare

Quality ratings, staffing and inspection history for Windsor House At Champion (CMS certification number 366281), from CMS Care Compare.

Windsor House At Champion

Nursing home · Champion, OH
3/5 CMS Overall Rating
OwnershipFor profit - Corporation
CMS Certification Number366281
Certified Beds92 beds83 residents per day on average
Medicare & Medicaid Participant SinceOctober 1, 2003
Resident & Family CouncilResident council
Automatic sprinkler system

CMS Star Ratings

Quality Measures
Based on a select set of clinical quality measures.
4/5
Long-Stay Quality
Quality of care delivered to long-term residents.
5/5
Short-Stay Quality
Quality of care delivered to short-term and rehabilitation residents.
2/5
Staffing
Based on nursing staff hours relative to resident needs.
3/5
Weighted Health Inspection Score
Lower scores are better; the score summarizes deficiencies found on recent inspections.
50
Ratings are assigned by CMS on a one-to-five star scale; five is the highest. Categories without a current CMS rating are not shown.

Staffing & Turnover

Total Nurse Staffing
nurse aide 1.88 · LPN 1.08 · RN 0.45
3.41 hrs per resident per day
Weekend Nurse Staffing
2.65 hrs per resident per day
Physical Therapist Staffing
0.03 hrs per resident per day
Nursing Staff Turnover
Share of nursing staff who left the facility within the past year.
43.7%
Registered Nurse Turnover
22.2%
Administrators Who Have Left
In the past year.
0
Higher staffing hours generally allow more direct care time per resident.

Inspections & Enforcement

Facility-Reported Incidents
0
Substantiated Complaints
3
Infection-Control Citations
0
Fines
1 totaling $657.80
Medicare Payment Denials
0
Total Penalties
1
Counts come from CMS inspections and complaint investigations over approximately the past three years. CMS Care Compare data as of October 1, 2024.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

VICTOR CARDARELLI COTA/L
Occupational Therapy Assistant
200 GLENDOLA AVE NW
WARREN, OH 44483
Trumbull County (330) 847-6266
MRS. KELLY BERNHARD P.T.A.
Physical Therapy Assistant
200 GLENDOLA AVE NW
WARREN, OH 44483
Trumbull County (330) 847-6510

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 1477563120. It was assigned to this organization in the NPPES registry on August 8, 2006. The provider is doing business as Windsor House At Champion.

Where is Omni Manor, Inc. located?

Omni Manor, Inc. is located at 200 Glendola Ave NW, Warren, OH 44483. The listed phone number is (330) 847-6266.

What is Omni Manor, Inc.'s specialty?

The primary specialty registered for this NPI is Skilled Nursing Facility with taxonomy code 314000000X.

Does Omni Manor, Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 36D1017493) is associated with this NPI, valid through September 25, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

Is Omni Manor, Inc. a Medicare-certified nursing home?

Yes. Windsor House At Champion is a Medicare-certified nursing home with 92 certified beds.

What quality rating does Omni Manor, Inc. have?

CMS rates Windsor House At Champion 3 out of 5 stars overall on Care Compare. The full measure detail is in the Nursing Home Quality Ratings section above.

What insurance does Omni Manor, Inc. accept?

Health plans from Anthem Blue Cross and Blue Shield, CareSource and UnitedHealthcare list Omni Manor, Inc. as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Omni Manor, Inc. was last updated on January 22, 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.