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Medical Necessities Family of Companies

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Providing high-quality tools to keep individuals healthy and active, one person at a time inspires and unites the teams of Medical Necessities. We embrace innovation—bringing leading knowledge, products and services directly to the individuals that are entrusted to our care. We believe in collaborative partnerships which have led to the increase of advanced care that makes every day a little better for each individual we serve. With over 250 employees in Middle and East Tennessee we are all united in a common mission: To help people live longer, healthier, happier lives by providing the highest quality equipment, supplies, and services.

David and Niki Baxter, both registered nurses with over 40 years of combined experience in patient care launched Medical Necessities and Services (MNS) from a small 1500 square foot building in Hohenwald, TN and 2 employees; seeking innovation, best possible outcome based products and growing the family along the way to assist more and more individuals with receiving the high quality products and services they deserve. Working with Medicare, Medicaid and most other commercial insurances, the Baxter’s take pride in offering the high-quality equipment and personalized service to each and every customer that seeks one of our companies to assist with their needs.

Medical Necessities and Services

Medical Necessities and Services (MNS) is devoted to meet the respiratory, home medical equipment and supply needs of consumers in our service area. With over 15 Registered Respiratory Therapists and Registered Nurses on staff, MNS provides team members with on-going training opportunities in the latest discoveries, technology, and equipment to offer best outcome solutions involving obstructive sleep apnea (OSA), oxygen-related issues and assistive medical equipment.  MNS focuses on outcome based programs that produce substantially higher results than the national average; creating long-term compliance with PAP therapy, oxygen needs and improved patient quality of life. We are certified by the Accreditation Commission for Health Care (ACHC), meeting high national standards set for providers to effectively and efficiently deliver quality health care products and services to consumers.

Independence on Wheels

Independence On Wheels specializes in complex mobility equipment (wheelchairs, power wheelchairs, standers, gait trainers, custom molded cushions, etc.), pediatric adaptive equipment (safety beds, activity chairs, bathing and toileting systems, etc.) and dedicated speech generating devices. Clients are evaluated in their home by one of our experts that include, but are not limited to Assistive Technology Professionals, Physical Therapist, Speech Language Pathologist, Registered Nurses and Certified Pediatric Nurse Practitioner. They will work together, in a team approach, with other clinicians (client’s treating physician and ancillary therapists) to recommend product solutions that maintain, and/or, improve safety and functional abilities of the referred client.


ProTech specializes in home modifications designed to keep patients independent and injury free in their homes. Protech employs licensed contractors: experts at providing solutions to the everyday challenges of the aging or those living with disabilities and offers a wide range of products to help meet every lifestyle need such as stair lifts, wheelchair ramps, automobile lifts, bathroom remodels and much, much more. ProTech is certified by the Board of Certification (BOC), meeting high national standards set for demonstrating commitment, competency, professionalism and safe practice environments provided to all of our patients.

Muletown Rec

Muletown Rec is a newly renovated facility in Columbia, TN built to meet the needs of everyone in the family. With 24/7 access to our fitness center for members, fitness programs geared toward kids, athletic training and social interaction for teens, aqua therapy and modern adult fitness classes such as Barre, Tap & Pow(h)er, Zumba, HIIT Training, Spin, Yoga, etc. there is something for everyone. Enjoy the area’s only indoor and outdoor pools, splash pad, sauna and many other amenities. Sign up for membership or purchase an $8-day pass.


Sleep Solutions and Services (S3) is a software platform which allows a high return on investment geared to DME companies. S3 is an advanced proprietary system designed to effectively track patients and generate supply orders. By marrying technology and the specialized care of our sleep coach, your business will grow exponentially.