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
1	251S00000X	Community/Behavioral Health Agency
2	251B00000X	Case Management Agency
3	101YA0400X	Addiction (Substance Use Disorder) Counselor
4	171M00000X	Case Manager/Care Coordinator
5	261QR0405X	Substance Use Disorder Rehabilitation Clinic/Center

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	:	1346085727
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	:	937-814-9681
Fax Number	:

Provider Business Practice Location Address
First Line	:	3501 E LIVINGSTON AVE STE A
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43227-2220
Country	:	US
Telephone Number	:	937-688-1845
Fax Number	:

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

Provider Enumeration Date	:	06/27/2024
Last Update Date	:	05/11/2026

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Directions to “SAVING LIVES OHIO LLC ” Practice Location

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