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 | 174200000X | Meals | | | | No |
| 2 | 251J00000X | Nursing Care | | | | No |
| 3 | 253Z00000X | In Home Supportive Care | | | | No |
| 4 | 261QD1600X | Clinic/Center | Developmental Disabilities | | | No |
| 5 | 261QM1300X | Clinic/Center | Multi-Specialty | | | No |
| 6 | 261QR0400X | Clinic/Center | Rehabilitation | | | No |
| 7 | 310400000X | Assisted Living Facility | | | | Yes |
| 8 | 311Z00000X | Custodial Care Facility | | | | No |
| 9 | 311ZA0620X | Custodial Care Facility | Adult Care Home | | | No |
| 10 | 315P00000X | Intermediate Care Facility, Intellectual Disabilities | | | | No |
| 11 | 343900000X | Non-emergency Medical Transport (VAN) | | | | No |
| 12 | 347C00000X | Private Vehicle | | | | No |
| 13 | 374U00000X | Home Health Aide | | | | No |