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 | 251B00000X | Case Management | | | | No |
| 2 | 253Z00000X | In Home Supportive Care | | | | No |
| 3 | 385HR2055X | Respite Care | Respite Care, Mental Illness, Child | | | No |
| 4 | 177F00000X | Lodging | | | | No |
| 5 | 251S00000X | Community/Behavioral Health | | | | No |
| 6 | 174200000X | Meals | | | | No |
| 7 | 251300000X | Local Education Agency (LEA) | | | | No |
| 8 | 261QM0850X | Clinic/Center | Adult Mental Health | | | No |
| 9 | 251V00000X | Voluntary or Charitable | | | | No |
| 10 | 261QM0855X | Clinic/Center | Adolescent and Children Mental Health | | | No |
| 11 | 385HR2060X | Respite Care | Respite Care, Intellectual and/or Developmental Disabilities | | | No |
| 12 | 347C00000X | Private Vehicle | | | | No |
| 13 | 261QM0801X | Clinic/Center | Mental Health (Including Community Mental Health Center) | | | No |
| 14 | 305S00000X | Point of Service | | | | No |
| 15 | 322D00000X | Residential Treatment Facility, Emotionally Disturbed Children | | | | Yes |
