CONVERSION THERAPEUTIC SERVICES INC
NPI 1194588616
Home Health in Charlotte, NC

Active since February 06, 2024
11535 CARMEL COMMONS BLVD STE 102, CHARLOTTE, NC 28226(704) 910-1788 Get Directions Write a Review

NPPES record last updated: October 8, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Oct 8, 2024, Feb 6, 2024 (2 updates tracked since 2024).

About Conversion Therapeutic Services Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CONVERSION THERAPEUTIC SERVICES INC (NPI 1194588616) is a healthcare organization registered as a home health in Charlotte, North Carolina and active in the NPI registry since February 2024. The organization lists Tenicia Washington, Owner, as its authorized official.

NPPES Registry Identity

NPI1194588616
Entity TypeOrganization
Primary Taxonomy251E00000X
Legal Business NameCONVERSION THERAPEUTIC SERVICES INC
Location Address11535 CARMEL COMMONS BLVD STE 102Charlotte, NC 28226-5314
Mailing Address848 Kathy Dianne DrIndian Land, SC 29707-6898 · (443) 531-1988
Organization SubpartNo
Authorized OfficialTenicia WashingtonOwner · (443) 531-1988
Enumeration DateFebruary 6, 2024
Last NPPES UpdateOctober 8, 20242 updates tracked since enumeration
NPPES CertifiedOctober 8, 2024
NPI 1194588616 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyHome HealthAgencies
Taxonomy Code251E00000X
Definition

A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.

11535 CARMEL COMMONS BLVD STE 102, Charlotte, NC 28226

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Clinic/Center (Multi-Specialty)
11535 CARMEL COMMONS BLVD STE 102
CHARLOTTE, NC 28226
Clinic/Center (Developmental Disabilities)
11535 CARMEL COMMONS BLVD STE 102
CHARLOTTE, NC 28226
Non-emergency Medical Transport (VAN)
11535 CARMEL COMMONS BLVD STE 102
CHARLOTTE, NC 28226

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Conversion Therapeutic Services Inc's NPI number?

The NPI number for Conversion Therapeutic Services Inc is 1194588616. It was assigned to this organization in the NPPES registry on February 6, 2024.

Where is Conversion Therapeutic Services Inc located?

Conversion Therapeutic Services Inc is located at 11535 Carmel Commons Blvd Ste 102, Charlotte, NC 28226. The listed phone number is (704) 910-1788.

What is Conversion Therapeutic Services Inc's specialty?

The primary specialty registered for this NPI is Home Health with taxonomy code 251E00000X.

When was this NPI record last updated?

The NPPES record for Conversion Therapeutic Services Inc was last updated on October 8, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.