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 | 320800000X | Community Based Residential Treatment Facility, Mental Illness | | | | No |
| 2 | 324500000X | Substance Abuse Rehabilitation Facility | | | | No |
| 3 | 177F00000X | Lodging | | | | No |
| 4 | 251T00000X | Program of All-Inclusive Care for the Elderly (PACE) Provider Organization | | | | No |
| 5 | 273Y00000X | Rehabilitation Unit | | | | No |
| 6 | 174200000X | Meals | | | | No |
| 7 | 310400000X | Assisted Living Facility | | | | Yes |