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 | 251K00000X | Public Health or Welfare | | | | No |
| 3 | 251S00000X | Community/Behavioral Health | | | | No |
| 4 | 253Z00000X | In Home Supportive Care | | | | No |
| 5 | 302R00000X | Health Maintenance Organization | | | | No |
| 6 | 3104A0625X | Assisted Living Facility | Assisted Living, Mental Illness | | | No |
| 7 | 315P00000X | Intermediate Care Facility, Intellectual Disabilities | | | | No |
| 8 | 320600000X | Residential Treatment Facility, Intellectual and/or Developmental Disabilities | | | | No |
| 9 | 320900000X | Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities | | | TEXAS | No |
| 10 | 320900000X | Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities | | | | No |
| 11 | 385H00000X | Respite Care | | | | No |
| 12 | 385HR2050X | Respite Care | Respite Care Camp | | | No |
| 13 | 385HR2060X | Respite Care | Respite Care, Intellectual and/or Developmental Disabilities | | | No |
| 14 | 251E00000X | Home Health | | | | Yes |