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 | 251J00000X | Nursing Care | | | | No |
| 2 | 3104A0625X | Assisted Living Facility | Assisted Living, Mental Illness | | | No |
| 3 | 315P00000X | Intermediate Care Facility, Intellectual Disabilities | | | | No |
| 4 | 253Z00000X | In Home Supportive Care | | | | No |
| 5 | 261QD1600X | Clinic/Center | Developmental Disabilities | | | No |
| 6 | 261QM0801X | Clinic/Center | Mental Health (Including Community Mental Health Center) | | | No |
| 7 | 320700000X | Residential Treatment Facility, Physical Disabilities | | | | No |
| 8 | 320900000X | Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities | | | | No |
| 9 | 320600000X | Residential Treatment Facility, Intellectual and/or Developmental Disabilities | | | | No |
| 10 | 103TM1800X | Psychologist | Intellectual and Developmental Disabilities | | | No |
| 11 | 172V00000X | Community Health Worker | | | | No |
| 12 | 251C00000X | Day Training, Developmentally Disabled Services | | | | No |
| 13 | 251E00000X | Home Health | | | | No |
| 14 | 251G00000X | Hospice Care, Community Based | | | | No |
| 15 | 251S00000X | Community/Behavioral Health | | | | Yes |
