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 | 310400000X | Assisted Living Facility | | | | No |
| 2 | 261QM0850X | Clinic/Center | Adult Mental Health | | | No |
| 3 | 261Q00000X | Clinic/Center | | | | No |
| 4 | 261QM0855X | Clinic/Center | Adolescent and Children Mental Health | | | No |
| 5 | 261QP2000X | Clinic/Center | Physical Therapy | | | No |
| 6 | 251C00000X | Day Training, Developmentally Disabled Services | | | | No |
| 7 | 261QH0700X | Clinic/Center | Hearing and Speech | | | No |
| 8 | 251S00000X | Community/Behavioral Health | | | | No |
| 9 | 253Z00000X | In Home Supportive Care | | | | No |
| 10 | 251J00000X | Nursing Care | | | | No |
| 11 | 174200000X | Meals | | | | No |
| 12 | 177F00000X | Lodging | | | | No |
| 13 | 261QP2400X | Clinic/Center | Prison Health | | | No |
| 14 | 251E00000X | Home Health | | | | Yes |