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 | 253Z00000X | In Home Supportive Care | | | | No |
| 2 | 385H00000X | Respite Care | | | | No |
| 3 | 3747A0650X | Technician | Attendant Care Provider | | | No |
| 4 | 315P00000X | Intermediate Care Facility, Intellectual Disabilities | | | | No |
| 5 | 251E00000X | Home Health | | | | No |
| 6 | 253J00000X | Foster Care Agency | | | | No |
| 7 | 310400000X | Assisted Living Facility | | | | No |
| 8 | 320800000X | Community Based Residential Treatment Facility, Mental Illness | | | | No |
| 9 | 385HR2060X | Respite Care | Respite Care, Intellectual and/or Developmental Disabilities | | | No |
| 10 | 3747P1801X | Technician | Personal Care Attendant | | | No |
| 11 | 261QD1600X | Clinic/Center | Developmental Disabilities | | | No |
| 12 | 385HR2065X | Respite Care | Respite Care, Physical Disabilities, Child | | | No |
| 13 | 3104A0625X | Assisted Living Facility | Assisted Living, Mental Illness | | | Yes |
