At Home Fitness LLC

Primary specialty

Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X

Legal business name

AT HOME FITNESS LLC

Practice address

3600 Wilkinson Blvd Ste D
Charlotte, NC 28208-5539

Phone

(202) 597-0633

NPI assigned

Aug 15, 2024

Organization subpart

No

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

Authorized official

Name

Aubray WestNPI 1134958648

Title

Owner

Phone

(202) 597-0633

Specialties & licenses 1

Addresses

Other names 1

• At Home Fitness LLC Former legal business name

Locations

Practitioners 1

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

• Aubray West

  • Athletic Trainer
  • Charlotte, NC
  • NPI 1134958648
  NPD Authorized official

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

{
    "created_epoch": "1723680000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1723680000000",
    "number": "1306678735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3600 WILKINSON BLVD STE D",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282085539",
            "telephone_number": "704-712-4096"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3600 WILKINSON BLVD STE D",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282085539",
            "telephone_number": "202-597-0633"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AT HOME FITNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-15",
        "last_updated": "2024-08-15",
        "certification_date": "2024-08-15",
        "status": "A",
        "authorized_official_last_name": "WEST",
        "authorized_official_first_name": "AUBRAY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "202-597-0633"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "At Home Fitness LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• Developmentally Disabled Services Day Training Agency in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Developmentally Disabled Services Day Training Agency in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2024; 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.