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 | 251C00000X | Day Training, Developmentally Disabled Services | | | | No |
| 3 | 261QA0600X | Clinic/Center | Adult Day Care | | | Yes |
| 4 | 261QD1600X | Clinic/Center | Developmental Disabilities | | | No |
| 5 | 261QM1000X | Clinic/Center | Migrant Health | | | No |
| 6 | 311ZA0620X | Custodial Care Facility | Adult Care Home | | | No |
| 7 | 320900000X | Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities | | | | No |
| 8 | 322D00000X | Residential Treatment Facility, Emotionally Disturbed Children | | | | No |
| 9 | 343900000X | Non-emergency Medical Transport (VAN) | | | | No |
| 10 | 347C00000X | Private Vehicle | | | | No |
| 11 | 385H00000X | Respite Care | | | | No |
| 12 | 253Z00000X | In Home Supportive Care | | | | No |
| 13 | 174200000X | Meals | | | | No |