Taxonomy Codes
The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:
| No. |
Taxonomy Code |
Taxonomy Clasification |
Taxonomy Specialization |
License Number |
License State |
Primary |
| 1 | 174200000X | Meals | | | | No |
| 2 | 177F00000X | Lodging | | | | No |
| 3 | 251S00000X | Community/Behavioral Health | | | | No |
| 4 | 251V00000X | Voluntary or Charitable | | | | No |
| 5 | 253J00000X | Foster Care Agency | | | | Yes |
| 6 | 253Z00000X | In Home Supportive Care | | | | No |
| 7 | 261QC1500X | Clinic/Center | Community Health | | | No |
| 8 | 261QP0905X | Clinic/Center | Public Health, State or Local | | | No |
| 9 | 261QP2300X | Clinic/Center | Primary Care | | | No |
| 10 | 261QV0200X | Clinic/Center | VA | | | No |
| 11 | 3104A0630X | Assisted Living Facility | Assisted Living, Behavioral Disturbances | | | No |
| 12 | 335G00000X | Medical Foods Supplier | | | | No |
| 13 | 347C00000X | Private Vehicle | | | | No |
| 14 | 385H00000X | Respite Care | | | | No |
| 15 | 385HR2065X | Respite Care | Respite Care, Physical Disabilities, Child | | | No |