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 | 251J00000X | Nursing Care | | | | No |
| 3 | 253Z00000X | In Home Supportive Care | | | | No |
| 4 | 302F00000X | Exclusive Provider Organization | | | | No |
| 5 | 311ZA0620X | Custodial Care Facility | Adult Care Home | | | No |
| 6 | 385HR2065X | Respite Care | Respite Care, Physical Disabilities, Child | | | No |
| 7 | 343900000X | Non-emergency Medical Transport (VAN) | | | | No |
| 8 | 347C00000X | Private Vehicle | | | | No |
| 9 | 385HR2050X | Respite Care | Respite Care Camp | | | No |
| 10 | 385HR2060X | Respite Care | Respite Care, Intellectual and/or Developmental Disabilities | | | No |
| 11 | 251E00000X | Home Health | | | | Yes |