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 | 251J00000X | Nursing Care | | | | No |
| 2 | 251S00000X | Community/Behavioral Health | | | | No |
| 3 | 3104A0625X | Assisted Living Facility | Assisted Living, Mental Illness | | | No |
| 4 | 3104A0630X | Assisted Living Facility | Assisted Living, Behavioral Disturbances | | | No |
| 5 | 311ZA0620X | Custodial Care Facility | Adult Care Home | | | No |
| 6 | 320600000X | Residential Treatment Facility, Intellectual and/or Developmental Disabilities | | | | No |
| 7 | 320700000X | Residential Treatment Facility, Physical Disabilities | | | | No |
| 8 | 342000000X | Transportation Network Company | | | | No |
| 9 | 374U00000X | Home Health Aide | | | | No |
| 10 | 253Z00000X | In Home Supportive Care | | | | No |
| 11 | 261QM0801X | Clinic/Center | Mental Health (Including Community Mental Health Center) | | | No |
| 12 | 261QM0850X | Clinic/Center | Adult Mental Health | | | No |
| 13 | 261QM0855X | Clinic/Center | Adolescent and Children Mental Health | | | No |
| 14 | 310400000X | Assisted Living Facility | | | | No |
| 15 | 320800000X | Community Based Residential Treatment Facility, Mental Illness | | | | Yes |
