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 | 251B00000X | Case Management | | | | No |
| 3 | 251K00000X | Public Health or Welfare | | | | No |
| 4 | 251E00000X | Home Health | | | | No |
| 5 | 261QR0405X | Clinic/Center | Rehabilitation, Substance Use Disorder | | | No |
| 6 | 261QR0800X | Clinic/Center | Recovery Care | | | No |
| 7 | 310500000X | Intermediate Care Facility, Mental Illness | | | | No |
| 8 | 251S00000X | Community/Behavioral Health | | | | No |
| 9 | 261QM0850X | Clinic/Center | Adult Mental Health | | | No |
| 10 | 320800000X | Community Based Residential Treatment Facility, Mental Illness | | | | No |
| 11 | 324500000X | Substance Abuse Rehabilitation Facility | | | | No |
| 12 | 343900000X | Non-emergency Medical Transport (VAN) | | | | No |
| 13 | 177F00000X | Lodging | | | | Yes |