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 | 251C00000X | Day Training, Developmentally Disabled Services | | | | No |
| 2 | 251G00000X | Hospice Care, Community Based | | | | No |
| 3 | 251S00000X | Community/Behavioral Health | | | | No |
| 4 | 251T00000X | Program of All-Inclusive Care for the Elderly (PACE) Provider Organization | | | | No |
| 5 | 261QA0600X | Clinic/Center | Adult Day Care | | | No |
| 6 | 261QD1600X | Clinic/Center | Developmental Disabilities | | | Yes |
| 7 | 3104A0630X | Assisted Living Facility | Assisted Living, Behavioral Disturbances | | | No |