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 | 177F00000X | Lodging | | | | No |
| 2 | 251B00000X | Case Management | | | | No |
| 3 | 251E00000X | Home Health | | | | No |
| 4 | 251F00000X | Home Infusion | | | | No |
| 5 | 251S00000X | Community/Behavioral Health | | | | No |
| 6 | 251V00000X | Voluntary or Charitable | | | | No |
| 7 | 310400000X | Assisted Living Facility | | | | No |
| 8 | 311Z00000X | Custodial Care Facility | | | | No |
| 9 | 311ZA0620X | Custodial Care Facility | Adult Care Home | | | No |
| 10 | 3104A0625X | Assisted Living Facility | Assisted Living, Mental Illness | | | No |
| 11 | 320600000X | Residential Treatment Facility, Intellectual and/or Developmental Disabilities | | | | No |
| 12 | 3104A0630X | Assisted Living Facility | Assisted Living, Behavioral Disturbances | | | No |
| 13 | 320800000X | Community Based Residential Treatment Facility, Mental Illness | | | | No |
| 14 | 320900000X | Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities | | | | No |
| 15 | 324500000X | Substance Abuse Rehabilitation Facility | | | | Yes |
