Provider Demographics
NPI:1689645558
Name:DASCO HME, LLC
Entity Type:Organization
Organization Name:DASCO HME, LLC
Other - Org Name:DASCO HOME MEDICAL EQUIPMENT
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:RACHEL
Authorized Official - Middle Name:
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 1:1656 EAGLE WAY
Practice Address - Street 2:
Practice Address - City:ASHLAND
Practice Address - State:OH
Practice Address - Zip Code:44805-8924
Practice Address - Country:US
Practice Address - Phone:419-289-6489
Practice Address - Fax:419-289-6506
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:2020-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH22187332B00000X
OH02-1063550332BX2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
000000018640OtherANTHEM
OH0172426Medicaid
381880001OtherCARESOURCE
57223OtherNORTHWOODS
OH0172487OtherBCMH
479343OtherBLACK LUNG
WV1057542OtherWORKERS COMP
1361859OtherUMWA
57223OtherNORTHWOODS
=========OtherUNITED HEALTH CARE
000000018640OtherANTHEM
OH0172487OtherBCMH
=========OtherTRICARE