Van'S-Dasco Home Medical Equipment, LLC

Primary specialty

Oxygen Equipment & Supplies (DME)Taxonomy code 332BX2000X

Legal business name

VAN'S-DASCO HOME MEDICAL EQUIPMENT, LLC

Practice address

1088 Miners Rd
Saint Joseph, MI 49085-9625

Phone

(269) 927-8635

Fax

(269) 925-4167

NPI assigned

Dec 3, 2007

Organization subpart

No

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

Authorized official

Name

Rachel A Mazur

Title

Ceo

Phone

(614) 203-3332

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 2

• DASCO HOME MEDICAL EQUIPMENT Doing business as
• Van's Medical Equipment of Lakeland Doing business as

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Member of 1

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

• Dasco HME, LLC

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

  Member Of

  NPD member

Locations

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

{
    "created_epoch": "1196640000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715558400000",
    "number": "1710169677",
    "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": "1088 MINERS RD",
            "city": "SAINT JOSEPH",
            "state": "MI",
            "postal_code": "490859625",
            "telephone_number": "269-927-8635",
            "fax_number": "269-925-4167"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VAN'S-DASCO HOME MEDICAL EQUIPMENT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-03",
        "last_updated": "2024-05-13",
        "certification_date": "2024-05-13",
        "status": "A",
        "authorized_official_last_name": "MAZUR",
        "authorized_official_first_name": "RACHEL",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "614-203-3332"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "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": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD OF MICHIGAN",
            "identifier": "54-0-A1-1200-0",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1710169677",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DASCO HOME MEDICAL EQUIPMENT",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Van's Medical Equipment of Lakeland",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Van's Medical Equipment of Lakeland",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Bailey Uggeri
• Thomas Raymond Ulrich, PA-C
• Kevin Valdes, PT
• Brittany Valk, DO
• Daniel James Van Elk, OD
• Kevin Jay Vanantwerp, RPH
• Shannin B Vanderark
• Jason Vanderlugt, M.D.
• Amber Ann Vanderwal
• Kavitha Vangapally, PT

• Oxygen Equipment & Supplies (DME) in Saint Joseph, MI
• Providers in Saint Joseph, MI by specialty
• Oxygen Equipment & Supplies (DME) in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.