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 | 315P00000X | Intermediate Care Facility, Intellectual Disabilities | | | | No |
| 2 | 320900000X | Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities | | | | Yes |
| 3 | 385H00000X | Respite Care | | | | No |
| 4 | 343900000X | Non-emergency Medical Transport (VAN) | | | | No |
| 5 | 373H00000X | Day Training/Habilitation Specialist | | | | No |
| 6 | 251S00000X | Community/Behavioral Health | | | | No |
| 7 | 251C00000X | Day Training, Developmentally Disabled Services | | | | No |
