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 | 251E00000X | Home Health | | | | No |
| 2 | 311ZA0620X | Custodial Care Facility | Adult Care Home | | | No |
| 3 | 315P00000X | Intermediate Care Facility, Intellectual Disabilities | | | | No |
| 4 | 251G00000X | Hospice Care, Community Based | | | | No |
| 5 | 310400000X | Assisted Living Facility | | | | No |
| 6 | 311Z00000X | Custodial Care Facility | | | | No |
| 7 | 320900000X | Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities | | | | Yes |