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 | 253Z00000X | In Home Supportive Care | | | | No |
| 2 | 261QA0600X | Clinic/Center | Adult Day Care | | | No |
| 3 | 261QD1600X | Clinic/Center | Developmental Disabilities | | | No |
| 4 | 261QM0850X | Clinic/Center | Adult Mental Health | | | No |
| 5 | 315P00000X | Intermediate Care Facility, Intellectual Disabilities | | | | No |
| 6 | 320800000X | Community Based Residential Treatment Facility, Mental Illness | | | | No |
| 7 | 261QM0801X | Clinic/Center | Mental Health (Including Community Mental Health Center) | | | No |
| 8 | 251C00000X | Day Training, Developmentally Disabled Services | | | | No |
| 9 | 251S00000X | Community/Behavioral Health | | | | No |
| 10 | 343900000X | Non-emergency Medical Transport (VAN) | | | | No |
| 11 | 251E00000X | Home Health | | | | Yes |