Our Lives Matter Healthcare Services LLC

Primary specialty

Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X

Legal business name

OUR LIVES MATTER HEALTHCARE SERVICES LLC

Practice address

5916 Sunbury Rd Unit 202
Columbus, OH 43230-1344

Phone

(614) 446-0233

NPI assigned

Feb 12, 2024

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Abdul Razak Koroma, ADMINISTRATOR

Title

Director

Phone

(614) 446-0233

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1707696000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707696000000",
    "number": "1043074933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5916 SUNBURY RD UNIT 202",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432301344",
            "telephone_number": "614-446-0233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5916 SUNBURY RD UNIT 202",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432301344",
            "telephone_number": "614-446-0233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OUR LIVES MATTER HEALTHCARE SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-12",
        "last_updated": "2024-02-12",
        "certification_date": "2024-02-10",
        "status": "A",
        "authorized_official_last_name": "KOROMA",
        "authorized_official_first_name": "ABDUL",
        "authorized_official_middle_name": "RAZAK",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "614-446-0233",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "ADMINISTRATOR"
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Intellectual and/or Developmental Disabilities Residential Treatment Facility in Columbus, OH
• Providers in Columbus, OH by specialty
• Intellectual and/or Developmental Disabilities Residential Treatment Facility in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.