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 | 343900000X | Non-emergency Medical Transport (VAN) | | 1533345 | NORTH CAROLINA | No |
| 2 | 251S00000X | Community/Behavioral Health | | 1533345 | NORTH CAROLINA | No |
| 3 | 251S00000X | Community/Behavioral Health | | 8023819 | NORTH CAROLINA | No |
| 4 | 251S00000X | Community/Behavioral Health | | 2550464 | NORTH CAROLINA | No |
| 5 | 251S00000X | Community/Behavioral Health | | 5450148 | NORTH CAROLINA | No |
| 6 | 320900000X | Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities | | 8023819 | NORTH CAROLINA | No |
| 7 | 320900000X | Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities | | 2550464 | NORTH CAROLINA | No |
| 8 | 320900000X | Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities | | 5450148 | NORTH CAROLINA | No |
| 9 | 320900000X | Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities | | 1533345 | NORTH CAROLINA | No |
| 10 | 305S00000X | Point of Service | | 8023819 | NORTH CAROLINA | No |
| 11 | 347C00000X | Private Vehicle | | 347C00000X | NORTH CAROLINA | No |
| 12 | 305S00000X | Point of Service | | 2550464 | NORTH CAROLINA | No |
| 13 | 305S00000X | Point of Service | | 5450148 | NORTH CAROLINA | No |
| 14 | 305S00000X | Point of Service | | 1533345 | NORTH CAROLINA | No |
| 15 | 251V00000X | Voluntary or Charitable | | | | Yes |
Other Identifiers
The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.
| No. |
Other Provider Identifier |
Other Provider Identifier Type |
Other Provider Identifier State |
Other Provider Identifier Issuer |
| 1 | 1533345 | MEDICAID | NORTH CAROLINA | |