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 | 320700000X | Residential Treatment Facility, Physical Disabilities | | | | No |
| 2 | 315P00000X | Intermediate Care Facility, Intellectual Disabilities | | | | No |
| 3 | 261QD1600X | Clinic/Center | Developmental Disabilities | | | No |
| 4 | 320900000X | Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities | | | | No |
| 5 | 320800000X | Community Based Residential Treatment Facility, Mental Illness | | | | No |
| 6 | 385HR2060X | Respite Care | Respite Care, Intellectual and/or Developmental Disabilities | | | No |
| 7 | 261QM0801X | Clinic/Center | Mental Health (Including Community Mental Health Center) | | | No |
| 8 | 251C00000X | Day Training, Developmentally Disabled Services | | | | No |
| 9 | 324500000X | Substance Abuse Rehabilitation Facility | | | | No |
| 10 | 251B00000X | Case Management | | | | No |
| 11 | 253Z00000X | In Home Supportive Care | | | | No |
| 12 | 385H00000X | Respite Care | | | | No |
| 13 | 251S00000X | Community/Behavioral Health | | | | No |
| 14 | 320600000X | Residential Treatment Facility, Intellectual and/or Developmental Disabilities | | | | Yes |
