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 | 251B00000X | Case Management | | | | No |
| 2 | 305R00000X | Preferred Provider Organization | | | | No |
| 3 | 305S00000X | Point of Service | | | | No |
| 4 | 311ZA0620X | Custodial Care Facility | Adult Care Home | | | No |
| 5 | 320900000X | Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities | | | | No |
| 6 | 372600000X | Adult Companion | | | | No |
| 7 | 3747A0650X | Technician | Attendant Care Provider | | | No |
| 8 | 3747P1801X | Technician | Personal Care Attendant | | | No |
| 9 | 385H00000X | Respite Care | | | | No |
| 10 | 385HR2065X | Respite Care | Respite Care, Physical Disabilities, Child | | | No |
| 11 | 253Z00000X | In Home Supportive Care | | | | Yes |