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 | 373H00000X | Day Training/Habilitation Specialist | | HC2524 | NORTH CAROLINA | No |
| 2 | 3747P1801X | Technician | Personal Care Attendant | HC2524 | NORTH CAROLINA | No |
| 3 | 376K00000X | Nurse's Aide | | HC2524 | NORTH CAROLINA | No |
| 4 | 320900000X | Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities | | HC2524 | NORTH CAROLINA | No |
| 5 | 385HR2055X | Respite Care | Respite Care, Mental Illness, Child | HC2524 | NORTH CAROLINA | No |
| 6 | 320800000X | Community Based Residential Treatment Facility, Mental Illness | | HC2524 | NORTH CAROLINA | No |
| 7 | 3140N1450X | Skilled Nursing Facility | Nursing Care, Pediatric | HC2524 | NORTH CAROLINA | No |
| 8 | 385HR2065X | Respite Care | Respite Care, Physical Disabilities, Child | HC2524 | NORTH CAROLINA | No |
| 9 | 320700000X | Residential Treatment Facility, Physical Disabilities | | HC2524 | NORTH CAROLINA | No |
| 10 | 163WH0200X | Registered Nurse | Home Health | HC2524 | NORTH CAROLINA | No |
| 11 | 311ZA0620X | Custodial Care Facility | Adult Care Home | HC2524 | NORTH CAROLINA | No |
| 12 | 3747A0650X | Technician | Attendant Care Provider | HC2524 | NORTH CAROLINA | No |
| 13 | 374700000X | Technician | | HC2524 | NORTH CAROLINA | Yes |
Other Identifiers
The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.
| No. |
Other Provider Identifier |
Other Provider Identifier Type |
Other Provider Identifier State |
Other Provider Identifier Issuer |
| 1 | 3409678 | OTHER | NORTH CAROLINA | CAP |
| 2 | 6601055 | MEDICAID | NORTH CAROLINA | |
