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 | 163WC1500X | Registered Nurse | Community Health | | | No |
| 2 | 174200000X | Meals | | | | No |
| 3 | 251B00000X | Case Management | | | | No |
| 4 | 251J00000X | Nursing Care | | | | No |
| 5 | 251S00000X | Community/Behavioral Health | | | | No |
| 6 | 251X00000X | Supports Brokerage | | | | No |
| 7 | 253Z00000X | In Home Supportive Care | | | | No |
| 8 | 261QA0600X | Clinic/Center | Adult Day Care | | | No |
| 9 | 261QD1600X | Clinic/Center | Developmental Disabilities | | | No |
| 10 | 320900000X | Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities | | | | No |
| 11 | 385H00000X | Respite Care | | | | No |
| 12 | 385HR2055X | Respite Care | Respite Care, Mental Illness, Child | | | No |
| 13 | 385HR2060X | Respite Care | Respite Care, Intellectual and/or Developmental Disabilities | | | No |
| 14 | 385HR2065X | Respite Care | Respite Care, Physical Disabilities, Child | | | No |
| 15 | 320600000X | Residential Treatment Facility, Intellectual and/or Developmental Disabilities | | | | Yes |
