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 | 261Q00000X | Clinic/Center | | 041.0000521 | NEW HAMPSHIRE | No |
| 2 | 261Q00000X | Clinic/Center | | 041/0000521 | VERMONT | No |
| 3 | 282N00000X | General Acute Care Hospital | | 041.0000521 | NEW HAMPSHIRE | No |
| 4 | 310400000X | Assisted Living Facility | | 041.0000521 | VERMONT | No |
| 5 | 311Z00000X | Custodial Care Facility | | 041.0000521 | VERMONT | No |
| 6 | 313M00000X | Nursing Facility/Intermediate Care Facility | | 041.0000521 | VERMONT | Yes |
| 7 | 314000000X | Skilled Nursing Facility | | 041.0000521 | NEW HAMPSHIRE | No |
| 8 | 314000000X | Skilled Nursing Facility | | 041.0000521 | VERMONT | No |