Liberty Arms Assisted Living Residence
LBN: Omni Manor, Inc.
Liberty Arms Assisted Living Residence is an health care organization with primary practice located at 1353 Churchill Hubbard Rd , Youngstown OH 44505-1380. 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) 759-2893, or through Mitchell, Jodi via phone (330) 759-2893.
Contact Information
Primary practice address
1353 Churchill Hubbard Rd
Youngstown OH 44505-1380
Phone: (330) 759-2893
Fax: (330) 759-2920
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing & Custodial Care Facilities / Assisted Living Facility | 310400000X | 5639 | Ohio |
Profile Details
| NPI number | 1275739450 |
|---|---|
| LBN Legal business name | Omni Manor, Inc. |
| DBA Doing business as | Liberty Arms Assisted Living Residence |
| Authorized official | Mitchell, Jodi Registered Nurse (RN) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jun 25th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1275739450 | NPPES |
| Ohio | Other | 2113R | STATE FACILITY NUMBER |
| Ohio | Other | 5639 | STATE FACILITY NUMBER |
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