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 | 251C00000X | Day Training, Developmentally Disabled Services | | | | No |
| 2 | 251E00000X | Home Health | | | | No |
| 3 | 251S00000X | Community/Behavioral Health | | | | No |
| 4 | 253Z00000X | In Home Supportive Care | | | | No |
| 5 | 261QA0600X | Clinic/Center | Adult Day Care | | | No |
| 6 | 261QC1500X | Clinic/Center | Community Health | | | No |
| 7 | 261QD1600X | Clinic/Center | Developmental Disabilities | | | No |
| 8 | 261QM0801X | Clinic/Center | Mental Health (Including Community Mental Health Center) | | | No |
| 9 | 261QM0850X | Clinic/Center | Adult Mental Health | | | No |
| 10 | 3104A0630X | Assisted Living Facility | Assisted Living, Behavioral Disturbances | | | No |
| 11 | 311Z00000X | Custodial Care Facility | | | | No |
| 12 | 343800000X | Secured Medical Transport (VAN) | | | | No |
| 13 | 343900000X | Non-emergency Medical Transport (VAN) | | | | No |
| 14 | 385HR2060X | Respite Care | Respite Care, Intellectual and/or Developmental Disabilities | | | No |
| 15 | 311ZA0620X | Custodial Care Facility | Adult Care Home | | | Yes |