MEDICARE: OHIO LIVING SARAH MOORE

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	310400000X	Assisted Living Facility

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1558914549
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	OHIO LIVING SARAH MOORE

Provider Business Mailing Address
First Line	:	9200 WORTHINGTON RD STE 300
Second Line	:
City	:	WESTERVILLE
State	:	OH
Zip	:	43082-7240
Country	:	US
Telephone Number	:	614-888-7800
Fax Number	:	614-888-6864

Provider Business Practice Location Address
First Line	:	26 N UNION ST
Second Line	:
City	:	DELAWARE
State	:	OH
Zip	:	43015-1922
Country	:	US
Telephone Number	:	740-362-7039
Fax Number	:

Authorized Official
Title or Position	:	CHIEF FINANCIAL OFFICER
Name	:	ROBERT B STILLMAN
Credential	:
Telephone Number	:	614-888-7800

Provider Enumeration Date	:	07/19/2019
Last Update Date	:	12/16/2025

Similar Medicare Providers

1063476802 — OHIO LIVING SARAH MOORE
Practice Location Address:

26 N UNION ST
DELAWARE, OH
43015-1922

Practice Phone: 740-362-9641
Practice Fax: 740-362-7039

1740309087 — AMY L JANECEZK PTA
Practice Location Address:

26 N UNION ST
DELAWARE, OH
43015-1922

Practice Phone: 740-362-9641
Practice Fax:

1144908443 — ALEXANDRA WHALEY
Practice Location Address:

26 N UNION ST
DELAWARE, OH
43015-1922

Practice Phone: 740-362-9641
Practice Fax:

1831053610 — AMY ZHENG
Practice Location Address:

207 HARNESS WAY
DELAWARE, OH
43015-9402

Practice Phone: 608-320-1863
Practice Fax:

1164387585 — JEFFREY EDWARD SOMOGYI
Practice Location Address:

560 MCKINLEY LN
DELAWARE, OH
43015-1142

Practice Phone: 330-464-8313
Practice Fax:

1114404555 — OHRH, LLC
Practice Location Address:

1100 SUNBURY RD STE 704
DELAWARE, OH
43015-6040

Practice Phone: 740-369-5633
Practice Fax: 740-362-0812

Directions to “OHIO LIVING SARAH MOORE ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.