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 | 253J00000X | Foster Care Agency | | | | No |
| 3 | 253Z00000X | In Home Supportive Care | | | | No |
| 4 | 261Q00000X | Clinic/Center | | | | No |
| 5 | 261QA0005X | Clinic/Center | Ambulatory Family Planning Facility | | | No |
| 6 | 261QC1500X | Clinic/Center | Community Health | | | No |
| 7 | 261QC1800X | Clinic/Center | Corporate Health | | | No |
| 8 | 261QM0801X | Clinic/Center | Mental Health (Including Community Mental Health Center) | | | No |
| 9 | 261QP2300X | Clinic/Center | Primary Care | | | No |
| 10 | 3104A0630X | Assisted Living Facility | Assisted Living, Behavioral Disturbances | | | No |
| 11 | 332BN1400X | Durable Medical Equipment & Medical Supplies | Nursing Facility Supplies | | | No |
| 12 | 3336C0002X | Pharmacy | Clinic Pharmacy | | | No |
| 13 | 343800000X | Secured Medical Transport (VAN) | | | | No |
| 14 | 343900000X | Non-emergency Medical Transport (VAN) | | | | No |
| 15 | 261QU0200X | Clinic/Center | Urgent Care | | | Yes |
