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 | 251G00000X | Hospice Care, Community Based | | | | No |
| 2 | 251S00000X | Community/Behavioral Health | | | | No |
| 3 | 253Z00000X | In Home Supportive Care | | | | No |
| 4 | 261QC1500X | Clinic/Center | Community Health | | | No |
| 5 | 261QM0801X | Clinic/Center | Mental Health (Including Community Mental Health Center) | | | No |
| 6 | 310400000X | Assisted Living Facility | | | | No |
| 7 | 3104A0625X | Assisted Living Facility | Assisted Living, Mental Illness | | | No |
| 8 | 3104A0630X | Assisted Living Facility | Assisted Living, Behavioral Disturbances | | | No |
| 9 | 311ZA0620X | Custodial Care Facility | Adult Care Home | | | No |
| 10 | 320800000X | Community Based Residential Treatment Facility, Mental Illness | | | | No |
| 11 | 320900000X | Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities | | | | No |
| 12 | 332U00000X | Home Delivered Meals | | | | No |
| 13 | 3336C0002X | Pharmacy | Clinic Pharmacy | | | No |
| 14 | 3336C0003X | Pharmacy | Community/Retail Pharmacy | | | No |
| 15 | 251E00000X | Home Health | | | | Yes |