OrganizationActive
Ingenious Health Care
NPI 1093160178 · Mental Health Occupational Therapist · Charlotte, NC
Provider details
- NPI number
- 1093160178
- Entity type
- Organization
- Primary specialty
- Mental Health Occupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Organization subpart
- No
- Authorized official
- Dorenzo Hudson, Manager(704) 904-8684
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
- Case Management Agency251B00000X
Agencies
- Home Health Agency251E00000X
Agencies
- Community/Behavioral Health Agency251S00000X
Agencies
- Early Intervention Provider Agency252Y00000X
Agencies
- In Home Supportive Care Agency253Z00000X
Agencies
Practice location
420 West Blvd
Charlotte, NC 28203-4408
Phone: (704) 297-6776
Approximate (ZIP-level) locationGet directions
Mailing address
420 West Blvd
Charlotte, NC 28203-4408
Registry dates
- Enumerated
- 2016-04-26
- Last updated
- 2016-04-26
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.