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 | 385H00000X | Respite Care | | | | No |
| 2 | 311ZA0620X | Custodial Care Facility | Adult Care Home | | | No |
| 3 | 320800000X | Community Based Residential Treatment Facility, Mental Illness | | | | No |
| 4 | 320700000X | Residential Treatment Facility, Physical Disabilities | | | | No |
| 5 | 320900000X | Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities | | | | No |
| 6 | 3104A0625X | Assisted Living Facility | Assisted Living, Mental Illness | | | Yes |