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 | 251T00000X | Program of All-Inclusive Care for the Elderly (PACE) Provider Organization | | | | No |
| 2 | 320900000X | Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities | | | | No |
| 3 | 251S00000X | Community/Behavioral Health | | | | No |
| 4 | 252Y00000X | Early Intervention Provider Agency | | | | No |
| 5 | 261QD1600X | Clinic/Center | Developmental Disabilities | | | No |
| 6 | 251J00000X | Nursing Care | | | | No |
| 7 | 253Z00000X | In Home Supportive Care | | | | Yes |