Active NPI
Dasco HME, LLC
- Oxygen Equipment & Supplies (DME)
- Ashland, OH
National Provider Identifier
1689645558
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oxygen Equipment & Supplies (DME)
- License
- 02-1063550
- 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 LLC
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000018640 | Other | ANTHEM | |
| 0172426 | Medicaid | OH | |
| 381880001 | Other | CARESOURCE | |
| 57223 | Other | NORTHWOODS | |
| 0172487 | Other | OH | BCMH |
| 479343 | Other | BLACK LUNG | |
| 1057542 | Other | WV | WORKERS COMP |
| 1361859 | Other | UMWA |
Other names 2
- DASCO HOME MEDICAL EQUIPMENT
- Kern Medical, Inc.
National Provider Directory
National Provider DirectoryMember of 2
Organizations this organization is a member of, according to the National Provider Directory.
-
- Oxygen Equipment & Supplies (DME)
- Shelbyville, IN
- NPI 1356329585
Member Of
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.