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 | 385HR2065X | Respite Care | Respite Care, Physical Disabilities, Child | | | No |
| 2 | 172A00000X | Driver | | | | No |
| 3 | 174200000X | Meals | | | | No |
| 4 | 177F00000X | Lodging | | | | No |
| 5 | 251E00000X | Home Health | | | | No |
| 6 | 311Z00000X | Custodial Care Facility | | | | No |
| 7 | 311ZA0620X | Custodial Care Facility | Adult Care Home | | | No |
| 8 | 320900000X | Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities | | | | No |
| 9 | 332U00000X | Home Delivered Meals | | | | No |
| 10 | 343900000X | Non-emergency Medical Transport (VAN) | | | | No |
| 11 | 385H00000X | Respite Care | | | | No |
| 12 | 385HR2050X | Respite Care | Respite Care Camp | | | No |
| 13 | 385HR2055X | Respite Care | Respite Care, Mental Illness, Child | | | No |
| 14 | 385HR2060X | Respite Care | Respite Care, Intellectual and/or Developmental Disabilities | | | No |
| 15 | 320600000X | Residential Treatment Facility, Intellectual and/or Developmental Disabilities | | | | Yes |
