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 | 251B00000X | Case Management | | | | No |
| 2 | 251S00000X | Community/Behavioral Health | | | | No |
| 3 | 252Y00000X | Early Intervention Provider Agency | | | | No |
| 4 | 253J00000X | Foster Care Agency | | | | No |
| 5 | 3104A0625X | Assisted Living Facility | Assisted Living, Mental Illness | | | No |
| 6 | 315P00000X | Intermediate Care Facility, Intellectual Disabilities | | | | No |
| 7 | 320600000X | Residential Treatment Facility, Intellectual and/or Developmental Disabilities | | | | No |
| 8 | 320800000X | Community Based Residential Treatment Facility, Mental Illness | | | | No |
| 9 | 320900000X | Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities | | | | No |
| 10 | 332U00000X | Home Delivered Meals | | | | No |
| 11 | 335G00000X | Medical Foods Supplier | | | | No |
| 12 | 343900000X | Non-emergency Medical Transport (VAN) | | | | No |
| 13 | 347C00000X | Private Vehicle | | | | No |
| 14 | 385H00000X | Respite Care | | | | No |
| 15 | 251E00000X | Home Health | | | | Yes |