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 | 385HR2060X | Respite Care | Respite Care, Intellectual and/or Developmental Disabilities | | | No |
| 2 | 373H00000X | Day Training/Habilitation Specialist | | | | No |
| 3 | 320600000X | Residential Treatment Facility, Intellectual and/or Developmental Disabilities | | | | No |
| 4 | 320900000X | Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities | | | | No |
| 5 | 372600000X | Adult Companion | | | | No |
| 6 | 251S00000X | Community/Behavioral Health | | | | No |
| 7 | 253Z00000X | In Home Supportive Care | | | | No |
| 8 | 261QD1600X | Clinic/Center | Developmental Disabilities | | | No |
| 9 | 251C00000X | Day Training, Developmentally Disabled Services | | | | No |
| 10 | 261QM0850X | Clinic/Center | Adult Mental Health | | | No |
| 11 | 251E00000X | Home Health | | | | Yes |