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 | 171M00000X | Case Manager/Care Coordinator | | | | No |
| 2 | 171WH0202X | Contractor | Home Modifications | | | No |
| 3 | 251B00000X | Case Management | | | | No |
| 4 | 251C00000X | Day Training, Developmentally Disabled Services | | | | No |
| 5 | 251G00000X | Hospice Care, Community Based | | | | No |
| 6 | 253Z00000X | In Home Supportive Care | | | | No |
| 7 | 261QA0600X | Clinic/Center | Adult Day Care | | | No |
| 8 | 320900000X | Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities | | | | No |
| 9 | 332B00000X | Durable Medical Equipment & Medical Supplies | | | | No |
| 10 | 253J00000X | Foster Care Agency | | | | Yes |