Provider Demographics
NPI:1912985144
Name:CARECO. LTD.
Entity Type:Organization
Organization Name:CARECO. LTD.
Other - Org Name:DASCO HOME MEDICAL EQUIPMENT
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:RACHEL
Authorized Official - Middle Name:A
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 1:1228 N MONROE DR
Practice Address - Street 2:SUITE A
Practice Address - City:XENIA
Practice Address - State:OH
Practice Address - Zip Code:45385-1622
Practice Address - Country:US
Practice Address - Phone:937-374-3150
Practice Address - Fax:937-374-3160
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-01-06
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH22153332B00000X
OH332BX2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Not Answered332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0641363Medicaid
57219OtherNORTHWOODS
000000014901OtherANTHEM
1049497OtherUMWA
=========OtherTRICARE
OH0641363Medicaid
1049497OtherUMWA
=========OtherUNITED HEALTH CARE
0367530001Medicare ID - Type Unspecified