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 | 332B00000X | Durable Medical Equipment & Medical Supplies | | | | No |
| 2 | 251F00000X | Home Infusion | | | | No |
| 3 | 310500000X | Intermediate Care Facility, Mental Illness | | | | No |
| 4 | 347E00000X | Transportation Broker | | | | No |
| 5 | 3104A0625X | Assisted Living Facility | Assisted Living, Mental Illness | | | No |
| 6 | 251K00000X | Public Health or Welfare | | | | No |
| 7 | 261QA0600X | Clinic/Center | Adult Day Care | | | No |
| 8 | 252Y00000X | Early Intervention Provider Agency | | | | No |
| 9 | 251C00000X | Day Training, Developmentally Disabled Services | | | | No |
| 10 | 261QP2400X | Clinic/Center | Prison Health | | | No |
| 11 | 251B00000X | Case Management | | | | No |
| 12 | 253Z00000X | In Home Supportive Care | | | | No |
| 13 | 343900000X | Non-emergency Medical Transport (VAN) | | | | No |
| 14 | 251S00000X | Community/Behavioral Health | | | | Yes |