Provider Demographics
NPI:1275504946
Name:DASCO HME, LLC
Entity Type:Organization
Organization Name:DASCO HME, LLC
Other - Org Name:DASCO HME
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:RACHEL
Authorized Official - Middle Name:ANNE
Authorized Official - Last Name:MAZUR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:614-901-2226
Mailing Address - Street 1:375 N WEST ST
Mailing Address - Street 2:
Mailing Address - City:WESTERVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:43082-1400
Mailing Address - Country:US
Mailing Address - Phone:614-901-2226
Mailing Address - Fax:614-901-2228
Practice Address - Street 1:1056 BELLEFONTAINE AVE STE B
Practice Address - Street 2:
Practice Address - City:LIMA
Practice Address - State:OH
Practice Address - Zip Code:45804-1870
Practice Address - Country:US
Practice Address - Phone:419-224-1135
Practice Address - Fax:419-224-1189
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:DASCO INVESTMENT HOLDCO, LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2006-01-30
Last Update Date:2022-10-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No332BP3500XSuppliersDurable Medical Equipment & Medical SuppliesParenteral & Enteral Nutrition
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2341684Medicaid
1361859OtherUMWA
479343OtherBLACK LUNG
OH2341684Medicaid
381880001OtherCARESOURCE
OH0172487OtherBCMH
WV1057542OtherWORKERS COMP
81666OtherNORTHWOODS
OH=========00OtherWORKERS COMP
381880001OtherCARESOURCE
=========006OtherMEDICAL MUTUAL OF OHIO
WV1057542OtherWORKERS COMP
=========OtherTRICARE