Eastern Athletic Clubs LLC

Primary specialty

Registered DietitianTaxonomy code 133V00000X

Legal business name

EASTERN ATHLETIC CLUBS LLC

Doing business as

Hockessin Athletic Club

Practice address

100 Fitness Way
Hockessin, DE 19707-2423

Phone

(302) 239-6688

Fax

(302) 239-9026

NPI assigned

Jun 11, 2019

Last updated

Jun 11, 2019By 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

Mr. Robert R. M. Carpenter IV

Title

President

Phone

(302) 239-6688

Specialties & licenses 2

Addresses

Other names 1

• Hockessin Athletic Club Doing business as

Locations

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

{
    "created_epoch": "1560211200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1560211200000",
    "number": "1205495363",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 FITNESS WAY",
            "city": "HOCKESSIN",
            "state": "DE",
            "postal_code": "197072423",
            "telephone_number": "302-239-6688",
            "fax_number": "302-239-9026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 FITNESS WAY",
            "city": "HOCKESSIN",
            "state": "DE",
            "postal_code": "197072423",
            "telephone_number": "302-239-6688",
            "fax_number": "302-239-9026"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EASTERN ATHLETIC CLUBS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-11",
        "last_updated": "2019-06-11",
        "status": "A",
        "authorized_official_last_name": "CARPENTER",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "R. M.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "302-239-6688",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "IV"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hockessin Athletic Club",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Registered Dietitian in Hockessin, DE
• Providers in Hockessin, DE by specialty
• Registered Dietitian in Delaware

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2019; 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.