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 | 282E00000X | Long Term Care Hospital | | | | No |
| 4 | 3104A0625X | Assisted Living Facility | Assisted Living, Mental Illness | | | No |
| 5 | 3104A0630X | Assisted Living Facility | Assisted Living, Behavioral Disturbances | | | No |
| 6 | 313M00000X | Nursing Facility/Intermediate Care Facility | | | | No |
| 7 | 3140N1450X | Skilled Nursing Facility | Nursing Care, Pediatric | | | No |
| 8 | 315D00000X | Hospice, Inpatient | | | | Yes |