Active NPI
Home Wellness, LLC
- Durable Medical Equipment & Medical Supplies
- Cinnaminson, NJ
National Provider Identifier
1225023922
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- Legal business name
- HOME WELLNESS, LLC
- Practice address
- 700 Route 130 N
Suite 208
Cinnaminson, NJ 08077-3365 - Phone
- (856) 864-1549
- Fax
- (800) 563-2937
- NPI assigned
- Sep 19, 2005
- 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
- Darrell Douglas Rawlings
- Title
- Ceo
- Phone
- (612) 895-7815
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | Primary | ||
| Parenteral & Enteral Nutrition Supplies (DME) | 332BP3500X |
Addresses
Primary practice location
700 Route 130 N
Suite 208
Cinnaminson, NJ 08077-3365
Mailing address
1055 Westgate Dr Ste 100
Saint Paul, MN 55114-1451
Phone (888) 280-8632
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1220523922 | Medicaid | DE | |
| 509902100 | Medicaid | MD | |
| 88808800 | Medicaid | DC | |
| 0015241300005 | Medicaid | PA | |
| 10074118 | Medicaid | VA | |
| 6487602 | Medicaid | NJ |
Other names 1
- ActivStyle
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100930010258 | NJ | DME Supplier - Medical Supply Company | 3274653175 | Practice locations: Cinnaminson, NJ |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
Medicare medical equipment & supply locations
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Home Wellness, LLC | Commodes, Urinals, Bedpans|Ostomy Supplies|Urological Supplies|Enteral Nutrients|Enteral Equipment and/or Supplies|Surgical Dressings | Accepts assignment |
National Provider Directory
National Provider DirectoryLocations
700 Route 130 N
Ste 208
Cinnaminson, NJ 08077
Phone (856) 864-1549
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1127088000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1755561600000",
"number": "1225023922",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1055 WESTGATE DR STE 100",
"city": "SAINT PAUL",
"state": "MN",
"postal_code": "551141451",
"telephone_number": "888-280-8632"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "700 ROUTE 130 N",
"address_2": "SUITE 208",
"city": "CINNAMINSON",
"state": "NJ",
"postal_code": "080773365",
"telephone_number": "856-864-1549",
"fax_number": "800-563-2937"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HOME WELLNESS, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2005-09-19",
"last_updated": "2025-08-19",
"certification_date": "2025-08-19",
"status": "A",
"authorized_official_last_name": "RAWLINGS",
"authorized_official_first_name": "DARRELL",
"authorized_official_middle_name": "DOUGLAS",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "612-895-7815"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": true
},
{
"code": "332BP3500X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1220523922",
"state": "DE"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "509902100",
"state": "MD"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "88808800",
"state": "DC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0015241300005",
"state": "PA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "10074118",
"state": "VA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "6487602",
"state": "NJ"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "ActivStyle",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "ActivStyle",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Cinnaminson, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.