Ingenious Health Care

Primary specialty

Mental Health Occupational TherapistTaxonomy code 225XM0800X

Legal business name

INGENIOUS HEALTH CARE

Practice address

420 West Blvd
Charlotte, NC 28203-4408

Phone

(704) 297-6776

NPI assigned

Apr 26, 2016

Organization subpart

No

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

Authorized official

Name

Dorenzo Hudson

Title

Manager

Phone

(704) 904-8684

Specialties & licenses 8

Addresses

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

{
    "created_epoch": "1461628800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1461628800000",
    "number": "1093160178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "420 WEST BLVD",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282034408",
            "telephone_number": "704-297-6776"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 WEST BLVD",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282034408",
            "telephone_number": "704-297-6776"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INGENIOUS HEALTH CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-26",
        "last_updated": "2016-04-26",
        "status": "A",
        "authorized_official_last_name": "HUDSON",
        "authorized_official_first_name": "DORENZO",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "704-904-8684"
    },
    "taxonomies": [
        {
            "code": "225XM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist, Mental Health",
            "state": "NC",
            "license": null,
            "primary": true
        },
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "NC",
            "license": null,
            "primary": false
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NC",
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NC",
            "license": null,
            "primary": false
        },
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "NC",
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "NC",
            "license": null,
            "primary": false
        },
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": "NC",
            "license": null,
            "primary": false
        },
        {
            "code": "385HR2055X",
            "taxonomy_group": "",
            "desc": "Respite Care, Respite Care, Mental Illness, Child",
            "state": "NC",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Infinity Behavioral and Developmental Health Services
• Infinity Medical Supplies LLC
• Infinium Health Services LLC
• Amy B Ingebretson, OT
• Latina Ingels
• Stephen J Ingersoll II
• Catherine Durando Ingland, PA-C
• Jenifer Ingle
• Sarah Pascoe Ingle, LPC
• Kimberly A. Inglefield, RD

• Mental Health Occupational Therapist in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Mental Health Occupational Therapist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2016; 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.