Organization Active NPI

Athos Wellness LLC

  • Health Service Clinic/Center
  • Jefferson Township, PA
National Provider Identifier
1265059497
Registry record updated Jul 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
Legal business name
ATHOS WELLNESS LLC
Practice address
1340 Charles Rd
Jefferson Township, PA 18436-3415
Phone
(570) 851-7023
NPI assigned
Jul 3, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dean Eleftherakis, L.AC. DIPL. OMNPI 1629695853
Title
Owner
Phone
(570) 851-7023

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X Primary

Addresses

Primary practice location

1340 Charles Rd
Jefferson Township, PA 18436-3415

Mailing address

1340 Charles Rd
Jefferson Township, PA 18436-3415

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1593734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1594339200000",
    "number": "1265059497",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1340 CHARLES RD",
            "city": "JEFFERSON TOWNSHIP",
            "state": "PA",
            "postal_code": "184363415"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1340 CHARLES RD",
            "city": "JEFFERSON TOWNSHIP",
            "state": "PA",
            "postal_code": "184363415",
            "telephone_number": "570-851-7023"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATHOS WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-03",
        "last_updated": "2020-07-10",
        "certification_date": "2020-07-10",
        "status": "A",
        "authorized_official_last_name": "ELEFTHERAKIS",
        "authorized_official_first_name": "DEAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "570-851-7023",
        "authorized_official_credential": "L.AC. DIPL. OM"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jefferson Township, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2020; 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.