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 | 3747P1801X | Technician | Personal Care Attendant | | | No |
| 2 | 251S00000X | Community/Behavioral Health | | | | No |
| 3 | 385H00000X | Respite Care | | | | No |
| 4 | 253J00000X | Foster Care Agency | | | | No |
| 5 | 253Z00000X | In Home Supportive Care | | | | No |
| 6 | 347C00000X | Private Vehicle | | | | No |
| 7 | 372600000X | Adult Companion | | | | No |
| 8 | 163W00000X | Registered Nurse | | | | No |
| 9 | 163WC1500X | Registered Nurse | Community Health | | | No |
| 10 | 164W00000X | Licensed Practical Nurse | | | | No |
| 11 | 172V00000X | Community Health Worker | | | | No |
| 12 | 251C00000X | Day Training, Developmentally Disabled Services | | | | No |
| 13 | 251E00000X | Home Health | | | | No |
| 14 | 251J00000X | Nursing Care | | | | No |
| 15 | 373H00000X | Day Training/Habilitation Specialist | | | | Yes |
Other Identifiers
The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.
| No. |
Other Provider Identifier |
Other Provider Identifier Type |
Other Provider Identifier State |
Other Provider Identifier Issuer |
| 1 | 103717200 | MEDICAID | FLORIDA | |
