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 | 251E00000X | Home Health | | | | No |
| 3 | 251G00000X | Hospice Care, Community Based | | | | No |
| 4 | 251S00000X | Community/Behavioral Health | | | | No |
| 5 | 261QD1600X | Clinic/Center | Developmental Disabilities | | | No |
| 6 | 261QM0801X | Clinic/Center | Mental Health (Including Community Mental Health Center) | | | No |
| 7 | 261QP2000X | Clinic/Center | Physical Therapy | | | No |
| 8 | 310400000X | Assisted Living Facility | | | | No |
| 9 | 3104A0625X | Assisted Living Facility | Assisted Living, Mental Illness | | | No |
| 10 | 3104A0630X | Assisted Living Facility | Assisted Living, Behavioral Disturbances | | | No |
| 11 | 372600000X | Adult Companion | | | | No |
| 12 | 385H00000X | Respite Care | | | | No |
| 13 | 385HR2060X | Respite Care | Respite Care, Intellectual and/or Developmental Disabilities | | | No |
| 14 | 385HR2065X | Respite Care | Respite Care, Physical Disabilities, Child | | | No |
| 15 | 253Z00000X | In Home Supportive Care | | | | Yes |