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 | 251E00000X | Home Health | | | | No |
| 2 | 251K00000X | Public Health or Welfare | | | | No |
| 3 | 261QA0600X | Clinic/Center | Adult Day Care | | | No |
| 4 | 261QC1500X | Clinic/Center | Community Health | | | No |
| 5 | 261QD0000X | Clinic/Center | Dental | | | No |
| 6 | 261QH0100X | Clinic/Center | Health Service | | | Yes |
| 7 | 261QM0801X | Clinic/Center | Mental Health (Including Community Mental Health Center) | | | No |
| 8 | 261QM0850X | Clinic/Center | Adult Mental Health | | | No |
| 9 | 261QR0400X | Clinic/Center | Rehabilitation | | | No |
| 10 | 261QR0800X | Clinic/Center | Recovery Care | | | No |
| 11 | 261QS1200X | Clinic/Center | Sleep Disorder Diagnostic | | | No |
| 12 | 3245S0500X | Substance Abuse Rehabilitation Facility | Substance Abuse Treatment, Children | | | No |
| 13 | 385H00000X | Respite Care | | | | No |
