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 | 251S00000X | Community/Behavioral Health | | | | No |
| 3 | 261QM0801X | Clinic/Center | Mental Health (Including Community Mental Health Center) | | | No |
| 4 | 282E00000X | Long Term Care Hospital | | | | No |
| 5 | 282N00000X | General Acute Care Hospital | | | | No |
| 6 | 283Q00000X | Psychiatric Hospital | | | | No |
| 7 | 283X00000X | Rehabilitation Hospital | | | | No |
| 8 | 286500000X | Military Hospital | | | | No |
| 9 | 291900000X | Military Clinical Medical Laboratory | | | | No |
| 10 | 291U00000X | Clinical Medical Laboratory | | | | No |
| 11 | 3104A0625X | Assisted Living Facility | Assisted Living, Mental Illness | | | No |
| 12 | 314000000X | Skilled Nursing Facility | | | | No |
| 13 | 3140N1450X | Skilled Nursing Facility | Nursing Care, Pediatric | | | No |
| 14 | 323P00000X | Psychiatric Residential Treatment Facility | | | | No |
| 15 | 251J00000X | Nursing Care | | | | Yes |
