Rejuvenating Health and Wellness, LLC

Primary specialty

Nursing Care AgencyTaxonomy code 251J00000X

Legal business name

REJUVENATING HEALTH AND WELLNESS, LLC

Doing business as

Rejuvenating Health and Wellness Care Home, LLC

Practice address

8254 Weatherwood LN
Cordova, TN 38018-6344

Phone

(901) 484-9099

Fax

(470) 222-2771

NPI assigned

Sep 13, 2021

Last updated

Sep 13, 2021By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Kamika Wall, MSN, APRN, AGPCNP-BCNPI 1285137380

Title

NP and RN

Phone

(901) 484-9099

Specialties & licenses 4

Addresses

Other names 1

• Rejuvenating Health and Wellness Care Home, LLC Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kamika Wall

  • Nurse Practitioner
  • Olive Branch, MS
  • NPI 1285137380
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1631491200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1631491200000",
    "number": "1548939499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 515",
            "city": "CORDOVA",
            "state": "TN",
            "postal_code": "380880515",
            "telephone_number": "901-484-9099",
            "fax_number": "470-222-2771"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8254 WEATHERWOOD LN",
            "city": "CORDOVA",
            "state": "TN",
            "postal_code": "380186344",
            "telephone_number": "901-484-9099",
            "fax_number": "470-222-2771"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REJUVENATING HEALTH AND WELLNESS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-13",
        "last_updated": "2021-09-13",
        "certification_date": "2021-09-13",
        "status": "A",
        "authorized_official_last_name": "WALL",
        "authorized_official_first_name": "KAMIKA",
        "authorized_official_title_or_position": "NP AND RN",
        "authorized_official_telephone_number": "901-484-9099",
        "authorized_official_credential": "MSN, APRN, AGPCNP-BC"
    },
    "taxonomies": [
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QI0500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Infusion Therapy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rejuvenating Health and Wellness Care Home, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Regel Pharmalab
• Summer Startup Regel, PHARM.D.
• Rehoboth Non-Emergency Medical Transportation LLC
• Modina Reid
• Louis Henry Reiss, MD
• Rejuvenescense
• Reliable Transportation LLC
• Reliable Transportation of Livingston, Inc
• Reliable Transportation of Tennessee
• Renown Enterprise

• Nursing Care Agency in Cordova, TN
• Providers in Cordova, TN by specialty
• Nursing Care Agency in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.