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 | 311ZA0620X | Custodial Care Facility | Adult Care Home | MHL-041-1095 | NORTH CAROLINA | No |
| 2 | 311ZA0620X | Custodial Care Facility | Adult Care Home | MHL-041-1115 | NORTH CAROLINA | No |
| 3 | 322D00000X | Residential Treatment Facility, Emotionally Disturbed Children | | MHL041857 | NORTH CAROLINA | No |
| 4 | 385H00000X | Respite Care | | MHL-041-1115 | NORTH CAROLINA | No |
| 5 | 251S00000X | Community/Behavioral Health | | MHL-041-1115 | NORTH CAROLINA | No |
| 6 | 251S00000X | Community/Behavioral Health | | MHL-041-1095 | NORTH CAROLINA | No |
| 7 | 253Z00000X | In Home Supportive Care | | MHL0411095 | NORTH CAROLINA | No |
| 8 | 253Z00000X | In Home Supportive Care | | MHL-041-1115 | NORTH CAROLINA | No |
| 9 | 253Z00000X | In Home Supportive Care | | | | No |
| 10 | 311Z00000X | Custodial Care Facility | | | | No |
| 11 | 385H00000X | Respite Care | | MHL-041-1095 | NORTH CAROLINA | No |
| 12 | 320800000X | Community Based Residential Treatment Facility, Mental Illness | | | | Yes |
