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 | 3104A0630X | Assisted Living Facility | Assisted Living, Behavioral Disturbances | | | No |
| 2 | 310500000X | Intermediate Care Facility, Mental Illness | | | | No |
| 3 | 320600000X | Residential Treatment Facility, Intellectual and/or Developmental Disabilities | | | | No |
| 4 | 251C00000X | Day Training, Developmentally Disabled Services | | | | No |
| 5 | 251E00000X | Home Health | | | | No |
| 6 | 251S00000X | Community/Behavioral Health | | | | No |
| 7 | 253Z00000X | In Home Supportive Care | | | | No |
| 8 | 261QD1600X | Clinic/Center | Developmental Disabilities | | | No |
| 9 | 251B00000X | Case Management | | | | No |
| 10 | 174200000X | Meals | | | | No |
| 11 | 322D00000X | Residential Treatment Facility, Emotionally Disturbed Children | | | | No |
| 12 | 343900000X | Non-emergency Medical Transport (VAN) | | | | No |
| 13 | 261QR0400X | Clinic/Center | Rehabilitation | | | Yes |
