Omni West Assisted Living Residence

LBN: Omni Manor, Inc.
Omni West Assisted Living Residence is an health care organization with primary practice located at 3259 Vestal Rd , Youngstown OH 44509-1062. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Assisted Living Facility, which is considered as the primary health care specialty. Omni Manor, Inc. can be contacted via phone (330) 793-4404, or through D'Agostino, Madeline Louise via phone (330) 793-4404.

Contact Information

Primary practice address
3259 Vestal Rd Youngstown OH 44509-1062
Phone: (330) 793-4404
Fax: (330) 793-0630
Website:
Map and Directions
Authorized official contact:
Name: D'Agostino, Madeline Louise Licensed Practical Nurse (LPN)
Phone: (330) 793-4404

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Assisted Living Facility 310400000X 2022R Ohio

Profile Details

NPI number 1205049160
LBN Legal business name Omni Manor, Inc.
DBA Doing business as Omni West Assisted Living Residence
Authorized official D'Agostino, Madeline Louise Licensed Practical Nurse (LPN)
Entity Organization
Organization subpart 1 No
Enumeration date May 8th, 2007
Last updated Jun 18th, 2008 - about 18 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1205049160 NPPES
Ohio MEDICAID 150284487

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