Healthcare Provider Details

I. General information

NPI: 1861786303
Provider Name (Legal Business Name): ADENA HOME INFUSION DME AND RESPIRATORY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/01/2011
Last Update Date: 03/14/2025
Certification Date: 03/14/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2077 WESTERN AVE
CHILLICOTHEE OH
45601-7506
US

IV. Provider business mailing address

375 N WEST ST
WESTERVILLE OH
43082-1400
US

V. Phone/Fax

Practice location:
  • Phone: 740-779-4663
  • Fax: 740-779-4631
Mailing address:
  • Phone: 614-901-2226
  • Fax: 614-901-2868

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code332BX2000X
TaxonomyOxygen Equipment & Supplies (DME)
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code3336H0001X
TaxonomyHome Infusion Therapy Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: RACHEL MAZUR
Title or Position: CEO
Credential:
Phone: 614-901-2109