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 | 347C00000X | Private Vehicle | | | SOUTH CAROLINA | No |
| 2 | 251E00000X | Home Health | | | | No |
| 3 | 253Z00000X | In Home Supportive Care | | | | No |
| 4 | 305R00000X | Preferred Provider Organization | | | | No |
| 5 | 305S00000X | Point of Service | | | | No |
| 6 | 310400000X | Assisted Living Facility | | | | No |
| 7 | 343900000X | Non-emergency Medical Transport (VAN) | | | | No |
| 8 | 302F00000X | Exclusive Provider Organization | | | | Yes |