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 | 225800000X | Recreation Therapist | | | | No |
| 2 | 251C00000X | Day Training, Developmentally Disabled Services | | | | No |
| 3 | 261QA0600X | Clinic/Center | Adult Day Care | | | No |
| 4 | 261QD1600X | Clinic/Center | Developmental Disabilities | | | No |
| 5 | 320900000X | Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities | | | | No |
| 6 | 343900000X | Non-emergency Medical Transport (VAN) | | | | No |
| 7 | 372500000X | Chore Provider | | | | No |
| 8 | 372600000X | Adult Companion | | | | No |
| 9 | 373H00000X | Day Training/Habilitation Specialist | | | | No |
| 10 | 385H00000X | Respite Care | | | | No |
| 11 | 385HR2050X | Respite Care | Respite Care Camp | | | No |
| 12 | 385HR2060X | Respite Care | Respite Care, Intellectual and/or Developmental Disabilities | | | No |
| 13 | 253Z00000X | In Home Supportive Care | | | | No |
| 14 | 222Q00000X | Developmental Therapist | | | | Yes |