Healthcare Provider Details

I. General information

NPI: 1659036341
Provider Name (Legal Business Name): SAVANNAH BRITNEY SAUCEMAN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/08/2021
Last Update Date: 04/02/2026
Certification Date: 04/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2211 FULTON AVE
CINCINNATI OH
45206-2504
US

IV. Provider business mailing address

2872 MONTANA AVE APT 11
CINCINNATI OH
45211-5928
US

V. Phone/Fax

Practice location:
  • Phone: 513-961-4663
  • Fax: 513-818-4680
Mailing address:
  • Phone: 513-961-4663
  • Fax: 513-818-4680

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code175T00000X
TaxonomyPeer Specialist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: