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 | 251C00000X | Day Training, Developmentally Disabled Services | | | | No |
| 2 | 253Z00000X | In Home Supportive Care | | | | No |
| 3 | 261QA0600X | Clinic/Center | Adult Day Care | | | No |
| 4 | 261QD1600X | Clinic/Center | Developmental Disabilities | | | No |
| 5 | 3104A0625X | Assisted Living Facility | Assisted Living, Mental Illness | | | No |
| 6 | 3104A0630X | Assisted Living Facility | Assisted Living, Behavioral Disturbances | | | No |
| 7 | 313M00000X | Nursing Facility/Intermediate Care Facility | | | | No |
| 8 | 320600000X | Residential Treatment Facility, Intellectual and/or Developmental Disabilities | | | | No |
| 9 | 322D00000X | Residential Treatment Facility, Emotionally Disturbed Children | | | | No |
| 10 | 342000000X | Transportation Network Company | | | | No |
| 11 | 251J00000X | Nursing Care | | | | Yes |