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 | 174200000X | Meals | | | | No |
| 2 | 251S00000X | Community/Behavioral Health | | | | No |
| 3 | 251V00000X | Voluntary or Charitable | | | | No |
| 4 | 261Q00000X | Clinic/Center | | | | No |
| 5 | 261QA0600X | Clinic/Center | Adult Day Care | | | No |
| 6 | 261QD1600X | Clinic/Center | Developmental Disabilities | | | No |
| 7 | 261QH0100X | Clinic/Center | Health Service | | | No |
| 8 | 261QM0850X | Clinic/Center | Adult Mental Health | | | No |
| 9 | 261QV0200X | Clinic/Center | VA | | | No |
| 10 | 305S00000X | Point of Service | | | | No |
| 11 | 320800000X | Community Based Residential Treatment Facility, Mental Illness | | | | No |
| 12 | 320900000X | Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities | | | | No |
| 13 | 343900000X | Non-emergency Medical Transport (VAN) | | | | No |
| 14 | 347C00000X | Private Vehicle | | | | No |
| 15 | 251C00000X | Day Training, Developmentally Disabled Services | | | | Yes |