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 | 172V00000X | Community Health Worker | | | | No |
| 2 | 177F00000X | Lodging | | | | No |
| 3 | 251300000X | Local Education Agency (LEA) | | | | No |
| 4 | 251S00000X | Community/Behavioral Health | | | | No |
| 5 | 252Y00000X | Early Intervention Provider Agency | | | | No |
| 6 | 253Z00000X | In Home Supportive Care | | | | Yes |
| 7 | 276400000X | Rehabilitation, Substance Use Disorder Unit | | | | No |
| 8 | 310400000X | Assisted Living Facility | | | | No |
| 9 | 3104A0625X | Assisted Living Facility | Assisted Living, Mental Illness | | | No |
| 10 | 311500000X | Alzheimer Center (Dementia Center) | | | | No |
| 11 | 3245S0500X | Substance Abuse Rehabilitation Facility | Substance Abuse Treatment, Children | | | No |
| 12 | 335G00000X | Medical Foods Supplier | | | | No |