MEDICARE: HOME WELLNESS REHABILITATION INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	332B00000X	Durable Medical Equipment & Medical Supplies

General Provider Information

NPI Number	:	1093216913
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HOME WELLNESS REHABILITATION INC

Provider Business Mailing Address
First Line	:	PO BOX 210346
Second Line	:
City	:	NASHVILLE
State	:	TN
Zip	:	37221-0346
Country	:	US
Telephone Number	:	619-908-2891
Fax Number	:

Provider Business Practice Location Address
First Line	:	4205 ELKINS AVE
Second Line	:
City	:	NASHVILLE
State	:	TN
Zip	:	37209-3641
Country	:	US
Telephone Number	:	619-218-3276
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	LISA TEKLINSKI
Credential	:
Telephone Number	:	619-908-2891

Provider Enumeration Date	:	02/26/2018
Last Update Date	:	02/23/2021

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