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 | 174200000X | Meals | | | | No |
| 2 | 251B00000X | Case Management | | | | No |
| 3 | 251K00000X | Public Health or Welfare | | | | No |
| 4 | 261QA0600X | Clinic/Center | Adult Day Care | | | No |
| 5 | 261QD0000X | Clinic/Center | Dental | | | No |
| 6 | 261QM1000X | Clinic/Center | Migrant Health | | | No |
| 7 | 261QS1000X | Clinic/Center | Student Health | | | No |
| 8 | 261QV0200X | Clinic/Center | VA | | | No |
| 9 | 310400000X | Assisted Living Facility | | | | No |
| 10 | 311500000X | Alzheimer Center (Dementia Center) | | | | No |
| 11 | 332BX2000X | Durable Medical Equipment & Medical Supplies | Oxygen Equipment & Supplies | | | No |
| 12 | 3336C0003X | Pharmacy | Community/Retail Pharmacy | | | No |
| 13 | 343900000X | Non-emergency Medical Transport (VAN) | | | | No |
| 14 | 347C00000X | Private Vehicle | | | | No |
| 15 | 253J00000X | Foster Care Agency | | | | Yes |