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 | 261QC1500X | Clinic/Center | Community Health | | MINNESOTA | No |
| 2 | 286500000X | Military Hospital | | | MINNESOTA | No |
| 3 | 3104A0630X | Assisted Living Facility | Assisted Living, Behavioral Disturbances | | MINNESOTA | No |
| 4 | 311ZA0620X | Custodial Care Facility | Adult Care Home | | MINNESOTA | No |
| 5 | 313M00000X | Nursing Facility/Intermediate Care Facility | | | MINNESOTA | No |
| 6 | 3140N1450X | Skilled Nursing Facility | Nursing Care, Pediatric | | | No |
| 7 | 323P00000X | Psychiatric Residential Treatment Facility | | | | No |
| 8 | 332BC3200X | Durable Medical Equipment & Medical Supplies | Customized Equipment | | | No |
| 9 | 332B00000X | Durable Medical Equipment & Medical Supplies | | | MINNESOTA | Yes |