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 | 251C00000X | Day Training, Developmentally Disabled Services | | | | No |
| 3 | 251J00000X | Nursing Care | | | | No |
| 4 | 251K00000X | Public Health or Welfare | | | | No |
| 5 | 251S00000X | Community/Behavioral Health | | | | No |
| 6 | 251V00000X | Voluntary or Charitable | | | | No |
| 7 | 251X00000X | Supports Brokerage | | | | No |
| 8 | 261QC1500X | Clinic/Center | Community Health | | | No |
| 9 | 261QM0850X | Clinic/Center | Adult Mental Health | | | No |
| 10 | 310400000X | Assisted Living Facility | | | | No |
| 11 | 311ZA0620X | Custodial Care Facility | Adult Care Home | | | No |
| 12 | 320800000X | Community Based Residential Treatment Facility, Mental Illness | | | | No |
| 13 | 347E00000X | Transportation Broker | | | | No |
| 14 | 385H00000X | Respite Care | | | | No |
| 15 | 320900000X | Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities | | | | Yes |
