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 | 251T00000X | Program of All-Inclusive Care for the Elderly (PACE) Provider Organization | | | | No |
| 2 | 174200000X | Meals | | | | No |
| 3 | 177F00000X | Lodging | | | | No |
| 4 | 251B00000X | Case Management | | | | No |
| 5 | 251J00000X | Nursing Care | | | | No |
| 6 | 251K00000X | Public Health or Welfare | | | | No |
| 7 | 320800000X | Community Based Residential Treatment Facility, Mental Illness | | | | No |
| 8 | 347C00000X | Private Vehicle | | | | No |
| 9 | 385H00000X | Respite Care | | | | No |
| 10 | 385HR2060X | Respite Care | Respite Care, Intellectual and/or Developmental Disabilities | | | No |
| 11 | 385HR2065X | Respite Care | Respite Care, Physical Disabilities, Child | | | No |
| 12 | 163WC2100X | Registered Nurse | Continence Care | | | No |
| 13 | 163WX1500X | Registered Nurse | Ostomy Care | | | No |
| 14 | 163WW0000X | Registered Nurse | Wound Care | | | Yes |
