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HERITAGE MANOR
NPI 1689413163
Clinic/Center - Adult Day Care in Youngstown, OH

Active since May 23, 2024
517 GYPSY LANE, YOUNGSTOWN, OH 44504(330) 746-1076(330) 743-3115 Get Directions Write a Review

NPPES record last updated: April 27, 2026. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Heritage Manor NPPES

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

HERITAGE MANOR (NPI 1689413163) is a healthcare organization registered as an adult day care in Youngstown, Ohio and active in the NPI registry since May 2024. The organization lists David John Stauffer, Cfo, as its authorized official.

NPPES Registry Identity

NPI1689413163
Entity TypeOrganization
Primary Taxonomy261QA0600X
Legal Business NameHERITAGE MANOR
Location Address517 GYPSY LANEYoungstown, OH 44504
Mailing Address505 Gypsy LnYoungstown, OH 44504-1314 · (330) 746-3250 · Fax (330) 746-7926
Phone(330) 746-1076
Fax(330) 743-3115
Organization SubpartYesParent: Youngstown Area Jewish Federation
Authorized OfficialDavid John StaufferCfo · (330) 746-3251
Enumeration DateMay 23, 2024
Last NPPES UpdateApril 27, 2026
NPPES CertifiedApril 27, 2026
✔ NPI 1689413163 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

★ Primary SpecialtyClinic/Center · Adult Day CareAmbulatory Health Care Facilities
Taxonomy Code261QA0600X
Also ListedCommunity/Behavioral HealthTaxonomy 251S00000X
Also ListedHome Delivered MealsTaxonomy 332U00000X
Also ListedNon-emergency Medical Transport (VAN)Taxonomy 343900000X
Also ListedBusTaxonomy 347B00000X
517 GYPSY LANE, Youngstown, OH 44504
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Other Names 1

Doing Business AsHeritage Manor

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 36D2189756

Heritage Manor Home For The Aged · Youngstown, OH
Expired · Aug 4, 2026
CLIA Number36D2189756
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateAugust 5, 2024
Certificate Expiration DateAugust 4, 2026
Laboratory DirectorEric M. Murray
Laboratory Phone(330) 746-1076
Laboratory LocationHeritage Manor Home For The Aged517 Gypsy Lane, Youngstown, OH 44504
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

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

CATHLEEN NEHLEN LSW
Social Worker (Clinical)
517 GYPSY LANE
YOUNGSTOWN, OH 44504
Mahoning County (330) 746-7929

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 Heritage Manor's NPI number?

The NPI number for Heritage Manor is 1689413163. It was assigned to this organization in the NPPES registry on May 23, 2024.

Where is Heritage Manor located?

Heritage Manor is located at 517 Gypsy Lane, Youngstown, OH 44504. The listed phone number is (330) 746-1076.

What is Heritage Manor's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Adult Day Care, with taxonomy code 261QA0600X.

When was this NPI record last updated?

The NPPES record for Heritage Manor was last updated on April 27, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months 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.