Provider Demographics
NPI:1093216913
Name:HOME WELLNESS REHABILITATION INC
Entity Type:Organization
Organization Name:HOME WELLNESS REHABILITATION INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LISA
Authorized Official - Middle Name:
Authorized Official - Last Name:TEKLINSKI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:619-908-2891
Mailing Address - Street 1:PO BOX 210346
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37221-0346
Mailing Address - Country:US
Mailing Address - Phone:619-908-2891
Mailing Address - Fax:
Practice Address - Street 1:4205 ELKINS AVE
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37209-3641
Practice Address - Country:US
Practice Address - Phone:619-218-3276
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-02-26
Last Update Date:2021-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies