MEDICARE: SAVING LIVES OHIO LLC

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	261QR0405X	Substance Use Disorder Rehabilitation Clinic/Center

General Provider Information

NPI Number	:	1164222527
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SAVING LIVES OHIO LLC

Provider Business Mailing Address
First Line	:	3530 EASTWEY AVE
Second Line	:
City	:	DAYTON
State	:	OH
Zip	:	45410-3302
Country	:	US
Telephone Number	:	513-338-9429
Fax Number	:

Provider Business Practice Location Address
First Line	:	7229 TAYLORSVILLE RD STE 240
Second Line	:
City	:	HUBER HEIGHTS
State	:	OH
Zip	:	45424-2371
Country	:	US
Telephone Number	:	513-338-9429
Fax Number	:

Authorized Official
Title or Position	:	PARTNER/COUNSELOR
Name	:	MR. JAMAL A CANN
Credential	:
Telephone Number	:	513-338-9429

Provider Enumeration Date	:	03/15/2025
Last Update Date	:	05/11/2026

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