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 | 163WA2000X | Registered Nurse | Administrator | | | No |
| 2 | 163WC0400X | Registered Nurse | Case Management | | | No |
| 3 | 163WC1500X | Registered Nurse | Community Health | | | No |
| 4 | 163WC2100X | Registered Nurse | Continence Care | | | No |
| 5 | 163WP2201X | Registered Nurse | Ambulatory Care | | | No |
| 6 | 251E00000X | Home Health | | | | No |
| 7 | 253Z00000X | In Home Supportive Care | | | | Yes |
| 8 | 343900000X | Non-emergency Medical Transport (VAN) | | | | No |
| 9 | 3747A0650X | Technician | Attendant Care Provider | | | No |
| 10 | 3747P1801X | Technician | Personal Care Attendant | | | No |
| 11 | 385H00000X | Respite Care | | | | No |