Organization Active NPI

Home Wellness, LLC

  • Durable Medical Equipment & Medical Supplies
  • Cinnaminson, NJ
National Provider Identifier
1225023922
Registry record updated Aug 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
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

Updated by the provider on Aug 19, 2025

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
1220523922MedicaidDE
509902100MedicaidMD
88808800MedicaidDC
0015241300005MedicaidPA
10074118MedicaidVA
6487602MedicaidNJ

Other names 1

  • ActivStyle Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100930010258 NJ DME Supplier - Medical Supply Company 3274653175 Practice locations: Cinnaminson, NJ

Laboratory certificates & supplier records

Derived by NPIMap

These 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

SupplierSuppliesMedicare assignment
Home Wellness, LLC700 Route 130 N, Cinnaminson, NJ 08077-3366(856) 864-1549 Commodes, Urinals, Bedpans|Ostomy Supplies|Urological Supplies|Enteral Nutrients|Enteral Equipment and/or Supplies|Surgical Dressings Accepts assignmentParticipating since Jan 1, 2009

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.