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 | 251E00000X | Home Health | | | | No |
| 2 | 251G00000X | Hospice Care, Community Based | | | | No |
| 3 | 251S00000X | Community/Behavioral Health | | | | No |
| 4 | 253Z00000X | In Home Supportive Care | | | | No |
| 5 | 251B00000X | Case Management | | | | No |
| 6 | 320900000X | Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities | | | | No |
| 7 | 385H00000X | Respite Care | | | | No |
| 8 | 261QA0600X | Clinic/Center | Adult Day Care | | | No |
| 9 | 310400000X | Assisted Living Facility | | | | No |
| 10 | 3104A0630X | Assisted Living Facility | Assisted Living, Behavioral Disturbances | | | No |
| 11 | 311ZA0620X | Custodial Care Facility | Adult Care Home | | | No |
| 12 | 320600000X | Residential Treatment Facility, Intellectual and/or Developmental Disabilities | | | | No |
| 13 | 251J00000X | Nursing Care | | | | Yes |