Organization
HOME WELLNESS, LLC
Active
Other names
ActivStyle
Organization subpart
No
Provider details
NPI number
Authorized official
DARRELL DOUGLAS RAWLINGS (CEO)
(612) 895-7815
Entity
Organization
Contact information
Practice address
700 ROUTE 130 N, SUITE 208, CINNAMINSON, NJ 08077-3365
(856) 864-1549
(800) 563-2937
Mailing address
1055 WESTGATE DR STE 100, SAINT PAUL, MN 55114-1451
(888) 280-8632
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0015241300005
—
PA
05
—
10074118
—
VA
05
—
1220523922
—
DE
05
—
509902100
—
MD
05
—
6487602
—
NJ
05
—
88808800
—
DC
Enumeration date
09/19/2005
Last updated
08/19/2025
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