Dasco-Pleasant Valley Home Medical Equipment LLC

Primary specialty

Oxygen Equipment & Supplies (DME)Taxonomy code 332BX2000X

Legal business name

DASCO-PLEASANT VALLEY HOME MEDICAL EQUIPMENT LLC

Doing business as

DASCO HME

Practice address

1011 Viand St
Point Pleasant, WV 25550-0006

Phone

(800) 892-4044

Fax

(614) 901-2868

NPI assigned

Jun 26, 2017

Organization subpart

No

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

Authorized official

Name

Mrs. Rachel Anne Mazur

Title

Ceo

Phone

(614) 901-2226

Specialties & licenses 3

Addresses

Other names 1

• DASCO HME Doing business as

Medicare fee-for-service enrollment

Enrolled in WV

Enrollment records 1

Member of 2

Organizations this organization is a member of, according to the National Provider Directory.

• Pleasant Valley Hospital, Inc.

  • Rural Health Clinic/Center
  • Point Pleasant, WV
  • NPI 1447890157

  Member Of

  NPD member
• Dasco HME, LLC

  • Oxygen Equipment & Supplies (DME)
  • Lima, OH
  • NPI 1275504946

  Member Of

  NPD member

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

{
    "created_epoch": "1498435200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1665532800000",
    "number": "1235659772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "375 N WEST ST",
            "city": "WESTERVILLE",
            "state": "OH",
            "postal_code": "430821400",
            "telephone_number": "614-901-2226",
            "fax_number": "614-901-2228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1011 VIAND ST",
            "city": "POINT PLEASANT",
            "state": "WV",
            "postal_code": "255500006",
            "telephone_number": "800-892-4044",
            "fax_number": "614-901-2868"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "300 Clay Lick Rd",
            "address_purpose": "LOCATION",
            "city": "Ripley",
            "state": "WV",
            "postal_code": "252719224",
            "country_code": "US",
            "telephone_number": "800-892-4044",
            "fax_number": "614-901-2868",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "DASCO-PLEASANT VALLEY HOME MEDICAL EQUIPMENT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-26",
        "last_updated": "2022-10-12",
        "certification_date": "2022-10-12",
        "status": "A",
        "authorized_official_last_name": "MAZUR",
        "authorized_official_first_name": "RACHEL",
        "authorized_official_middle_name": "ANNE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "614-901-2226",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332BP3500X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DASCO HME",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Tierra N Crockett, MD
• Jersey Daly
• Damia Hayman CFNP LLC
• Timothy A Damron, MD
• Raven Darst
• Connie May Davis, RPA
• Steven Davis
• Angela Defreitas, NP
• Juanita Denais
• Joshua Deweese

• Oxygen Equipment & Supplies (DME) in Point Pleasant, WV
• Providers in Point Pleasant, WV by specialty
• Oxygen Equipment & Supplies (DME) in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.