Organization Active NPI

Dasco HME, LLC

  • Oxygen Equipment & Supplies (DME)
  • Ashland, OH
National Provider Identifier
1689645558
Registry record updated Mar 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oxygen Equipment & Supplies (DME)Taxonomy code 332BX2000X
License
02-1063550 Issued in OH
Legal business name
DASCO HME, LLC
Practice address
1656 Eagle Way
Ashland, OH 44805-8924
Phone
(419) 289-6489
Fax
(419) 289-6506
NPI assigned
Jan 30, 2006
Organization subpart
Yes
Parent organization
DASCO INVESTMENT HOLDCO LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 16, 2020

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

Authorized official

Name
Mrs. Rachel Mazur
Title
Ceo
Phone
(614) 901-2226

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 22187 OH
Oxygen Equipment & Supplies (DME) 332BX2000X 02-1063550 OH Primary

Addresses

Primary practice location

1656 Eagle Way
Ashland, OH 44805-8924

Mailing address

375 N West St
Westerville, OH 43082-1400
Phone (614) 901-2226

Other identifiers 8

IdentifierTypeStateIssuer
000000018640OtherANTHEM
0172426MedicaidOH
381880001OtherCARESOURCE
57223OtherNORTHWOODS
0172487OtherOHBCMH
479343OtherBLACK LUNG
1057542OtherWVWORKERS COMP
1361859OtherUMWA

Other names 2

  • DASCO HOME MEDICAL EQUIPMENT Doing business as
  • Kern Medical, Inc. Former legal business name

National Provider Directory

National Provider Directory

Member of 2

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

Locations

1656 Eagle Way
Ashland, OH 44805
Phone (419) 289-6489

NPI Registry JSON

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

{
    "created_epoch": "1138579200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1584316800000",
    "number": "1689645558",
    "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": "1656 EAGLE WAY",
            "city": "ASHLAND",
            "state": "OH",
            "postal_code": "448058924",
            "telephone_number": "419-289-6489",
            "fax_number": "419-289-6506"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DASCO HME, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DASCO INVESTMENT HOLDCO LLC",
        "enumeration_date": "2006-01-30",
        "last_updated": "2020-03-16",
        "certification_date": "2020-03-16",
        "status": "A",
        "authorized_official_last_name": "MAZUR",
        "authorized_official_first_name": "RACHEL",
        "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": "OH",
            "license": "22187",
            "primary": false
        },
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": "OH",
            "license": "02-1063550",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000018640",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0172426",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CARESOURCE",
            "identifier": "381880001",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NORTHWOODS",
            "identifier": "57223",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCMH",
            "identifier": "0172487",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLACK LUNG",
            "identifier": "479343",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WORKERS COMP",
            "identifier": "1057542",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UMWA",
            "identifier": "1361859",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DASCO HOME MEDICAL EQUIPMENT",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Kern Medical, Inc.",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Ashland, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2020; 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.