Organization Active NPI

Ohio Living Sarah Moore

  • Skilled Nursing Facility
  • Delaware, OH
National Provider Identifier
1063476802
Registry record updated Aug 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
OHIO LIVING SARAH MOORE
Practice address
26 N Union St
Delaware, OH 43015-1922
Phone
(740) 362-9641
Fax
(740) 362-7039
NPI assigned
Apr 17, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Robert B Stillman
Title
Chief Financial Officer
Phone
(614) 888-7800

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

26 N Union St
Delaware, OH 43015-1922

Mailing address

9200 Worthington Rd Ste 300
Westerville, OH 43082-7240
Phone (614) 888-7800

Other identifiers 1

IdentifierTypeStateIssuer
2101808MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050317000674 OH Part A Provider - Skilled Nursing Facility 9133174659 Practice locations: Delaware, OH

Skilled nursing facility certification: CCN 366310

Legal name
OHIO LIVING SARAH MOORE
Doing business as
OHIO HEALTH DELAY THE DISEASE
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Apr 1, 2005
Last certification
Apr 18, 2024
Beds
47
Ownership / control type
Nonprofit Corporation
Multi-facility organization
Ohio Living
Organization structure
CorporationNon-profit
Incorporated
Mar 7, 1997 in OH
Enrollment address
26 N Union St
Delaware, OH 43015-1922
Nursing home name
OHIO LIVING SARAH MOORE
Affiliated entity
OHIO LIVING COMMUNITIES

Care Compare: Nursing home

Medicare Care Compare
Listed as
Ohio Living Sarah MooreCCN 366310
Overall star rating
5 of 5
Health inspections
3 of 5
Staffing
5 of 5
Quality measures
5 of 5
Type
Medicare and Medicaid
Ownership
Non profit - Corporation
Certified
Apr 1, 2005
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
4743.7 residents per day on average
Chain
Ohio Living Communities11 facilities in the chain

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory
Tax ID family
Ohio Living Sarah Moore2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Ownership & related parties

All disclosed owners & managing parties 14

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Terry White Individual Corporate DirectorBoard Member Jul 1, 2019
Melissa Ingwersen Individual Corporate DirectorBoard Member Jul 1, 2022
Laurence C Gumina Individual Corporate OfficerChief Executive Officer Nov 1, 2016
Peter D Hucek Individual Operational/Managerial Control May 1, 2019
Adp of the SNF May 1, 2019
Robert B Stillman Individual Corporate OfficerChief Financial Officer Nov 1, 2016
James Joyce Individual Corporate DirectorBoard Member Jul 1, 2010
Aric Arnett Individual Operational/Managerial Control Sep 15, 2014
Adp of the SNF Sep 15, 2014
Organization Medical provider/supplier Adp of the SNF Dec 2, 2024
Organization Medical provider/supplier Adp of the SNF Dec 2, 2024
Organization Medical provider/supplier Adp of the SNF Dec 2, 2024
Leslie Belfance Individual Corporate DirectorChief Operating Officer Jan 1, 2023
Organization Management services company Adp of the SNF Dec 2, 2024
Sandra M. Adam Individual Corporate DirectorBoard Member Jul 1, 2019
Organization Medical staffing company Adp of the SNF Dec 5, 2024

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Affiliated clinicians 2

Clinicians who list this facility as an affiliation in Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1145232000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1661472000000",
    "number": "1063476802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9200 WORTHINGTON RD STE 300",
            "city": "WESTERVILLE",
            "state": "OH",
            "postal_code": "430827240",
            "telephone_number": "614-888-7800",
            "fax_number": "614-888-6864"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26 N UNION ST",
            "city": "DELAWARE",
            "state": "OH",
            "postal_code": "430151922",
            "telephone_number": "740-362-9641",
            "fax_number": "740-362-7039"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OHIO LIVING SARAH MOORE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-17",
        "last_updated": "2022-08-26",
        "certification_date": "2022-08-26",
        "status": "A",
        "authorized_official_last_name": "STILLMAN",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "614-888-7800"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2101808",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Delaware, OH

Sources for this page

Verify at the official NPI Registry.