Provider Demographics
NPI:1346085727
Name:SAVING LIVES OHIO LLC
Entity type:Organization
Organization Name:SAVING LIVES OHIO LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:JOHNNY
Authorized Official - Middle Name:R
Authorized Official - Last Name:MARCUM
Authorized Official - Suffix:
Authorized Official - Credentials:CDCA/CPRS/QBHS
Authorized Official - Phone:937-668-1845
Mailing Address - Street 1:1045 WALTON AVE
Mailing Address - Street 2:
Mailing Address - City:DAYTON
Mailing Address - State:OH
Mailing Address - Zip Code:45402-5336
Mailing Address - Country:US
Mailing Address - Phone:937-668-1845
Mailing Address - Fax:
Practice Address - Street 1:3501 E LIVINGSTON AVE STE A
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43227-2220
Practice Address - Country:US
Practice Address - Phone:937-688-1845
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-06-27
Last Update Date:2025-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251S00000XAgenciesCommunity/Behavioral Health
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Multi-Specialty
No171M00000XOther Service ProvidersCase Manager/Care CoordinatorGroup - Multi-Specialty
No251B00000XAgenciesCase Management
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH1023558681OtherINDIVIDUAL PROVIDER NPI
OH0026553Medicaid