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 | 251B00000X | Case Management | | | | No |
| 2 | 251C00000X | Day Training, Developmentally Disabled Services | | | | No |
| 3 | 253Z00000X | In Home Supportive Care | | | | No |
| 4 | 261QD1600X | Clinic/Center | Developmental Disabilities | | | No |
| 5 | 261QI0500X | Clinic/Center | Infusion Therapy | | | Yes |
| 6 | 291900000X | Military Clinical Medical Laboratory | | | | No |
| 7 | 291U00000X | Clinical Medical Laboratory | | | | No |
| 8 | 292200000X | Dental Laboratory | | | | No |
| 9 | 293D00000X | Physiological Laboratory | | | | No |
| 10 | 320900000X | Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities | | | | No |
| 11 | 343800000X | Secured Medical Transport (VAN) | | | | No |
| 12 | 343900000X | Non-emergency Medical Transport (VAN) | | | | No |
| 13 | 385HR2050X | Respite Care | Respite Care Camp | | | No |
| 14 | 385HR2060X | Respite Care | Respite Care, Intellectual and/or Developmental Disabilities | | | No |
| 15 | 385HR2065X | Respite Care | Respite Care, Physical Disabilities, Child | | | No |
