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 | 171400000X | Health and Wellness Coach | | | | No |
| 2 | 171M00000X | Case Manager/Care Coordinator | | | | No |
| 3 | 305S00000X | Point of Service | | | | No |
| 4 | 3104A0625X | Assisted Living Facility | Assisted Living, Mental Illness | | | No |
| 5 | 320600000X | Residential Treatment Facility, Intellectual and/or Developmental Disabilities | | | | No |
| 6 | 343900000X | Non-emergency Medical Transport (VAN) | | | | No |
| 7 | 3104A0630X | Assisted Living Facility | Assisted Living, Behavioral Disturbances | | | No |
| 8 | 347C00000X | Private Vehicle | | | | No |
| 9 | 372600000X | Adult Companion | | | | No |
| 10 | 376J00000X | Homemaker | | | | No |
| 11 | 253Z00000X | In Home Supportive Care | | | | Yes |