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 | 101YM0800X | Counselor | Mental Health | | | No |
| 2 | 163WC0400X | Registered Nurse | Case Management | | | No |
| 3 | 174200000X | Meals | | | | No |
| 4 | 251E00000X | Home Health | | | | Yes |
| 5 | 251G00000X | Hospice Care, Community Based | | | | No |
| 6 | 251J00000X | Nursing Care | | | | No |
| 7 | 251K00000X | Public Health or Welfare | | | | No |
| 8 | 251S00000X | Community/Behavioral Health | | | | No |
| 9 | 253Z00000X | In Home Supportive Care | | | | No |
| 10 | 261QA0600X | Clinic/Center | Adult Day Care | | | No |
| 11 | 261QP2400X | Clinic/Center | Prison Health | | | No |
| 12 | 261QV0200X | Clinic/Center | VA | | | No |
| 13 | 320600000X | Residential Treatment Facility, Intellectual and/or Developmental Disabilities | | | | No |
| 14 | 322D00000X | Residential Treatment Facility, Emotionally Disturbed Children | | | | No |
| 15 | 3245S0500X | Substance Abuse Rehabilitation Facility | Substance Abuse Treatment, Children | | | No |