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 | 251V00000X | Voluntary or Charitable | | | | No |
| 2 | 251X00000X | Supports Brokerage | | | | No |
| 3 | 320900000X | Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities | | | | No |
| 4 | 324500000X | Substance Abuse Rehabilitation Facility | | | | No |
| 5 | 385H00000X | Respite Care | | | | No |
| 6 | 174200000X | Meals | | | | No |
| 7 | 177F00000X | Lodging | | | | No |
| 8 | 251B00000X | Case Management | | | | No |
| 9 | 251K00000X | Public Health or Welfare | | | | No |
| 10 | 251S00000X | Community/Behavioral Health | | | | Yes |