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 | 101YM0800X | Counselor | Mental Health | | | No |
| 2 | 174200000X | Meals | | | | No |
| 3 | 177F00000X | Lodging | | | | No |
| 4 | 251F00000X | Home Infusion | | | | No |
| 5 | 251J00000X | Nursing Care | | | | No |
| 6 | 251K00000X | Public Health or Welfare | | | | No |
| 7 | 253Z00000X | In Home Supportive Care | | | | Yes |
| 8 | 261QM0801X | Clinic/Center | Mental Health (Including Community Mental Health Center) | | | No |
| 9 | 282J00000X | Religious Nonmedical Health Care Institution | | | | No |
| 10 | 3104A0625X | Assisted Living Facility | Assisted Living, Mental Illness | | | No |
| 11 | 311500000X | Alzheimer Center (Dementia Center) | | | | No |
| 12 | 324500000X | Substance Abuse Rehabilitation Facility | | | | No |
| 13 | 374U00000X | Home Health Aide | | | | No |