Active NPI
Dasco Home Medical Equipment LLC
- Oxygen Equipment & Supplies (DME)
- Louisville, KY
National Provider Identifier
1952741175
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oxygen Equipment & Supplies (DME)
- Legal business name
- DASCO HOME MEDICAL EQUIPMENT LLC
- Doing business as
- DASCO HME
- Practice address
- 11534 Commonwealth Dr
Louisville, KY 40299-2340 - Phone
- (502) 473-6287
- Fax
- (502) 473-6289
- NPI assigned
- Jul 2, 2013
- Organization subpart
- No
NPPES NPI Registry
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
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | |||
| Parenteral & Enteral Nutrition Supplies (DME) | 332BP3500X | |||
| Oxygen Equipment & Supplies (DME) | 332BX2000X | Primary |
Addresses
Primary practice location
11534 Commonwealth Dr
Louisville, KY 40299-2340
Mailing address
375 N West St
Westerville, OH 43082-1400
Phone (614) 901-2226
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 300006409 | Medicaid | IN | |
| 6907320001 | Medicaid | KY | |
| 7100278240 | Medicaid | KY |
Other names 1
- DASCO HME
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20131121000932 | KY | DME Supplier - Medical Supply Company | 1557597531 | Practice locations: Louisville, KY |
National Provider Directory
National Provider Directory- Tax ID family
- Dasco Home Medical Equipment LLC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Durable Medical Equipment & Medical Supplies
- Louisville, KY
- NPI 1639726664
Member of 1
Organizations this organization is a member of, according to the National Provider Directory.
Locations
3103 Fern Valley Rd
Ste 107
Louisville, KY 40213
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1372723200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1665619200000",
"number": "1952741175",
"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"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11534 COMMONWEALTH DR",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402992340",
"telephone_number": "502-473-6287",
"fax_number": "502-473-6289"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DASCO HOME MEDICAL EQUIPMENT LLC",
"organizational_subpart": "NO",
"enumeration_date": "2013-07-02",
"last_updated": "2022-10-13",
"certification_date": "2022-10-13",
"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": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "300006409",
"state": "IN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "6907320001",
"state": "KY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7100278240",
"state": "KY"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "DASCO HME",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Louisville, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 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.