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 | 261QH0100X | Clinic/Center | Health Service | | | No |
| 2 | 174200000X | Meals | | | | No |
| 3 | 251E00000X | Home Health | | | | No |
| 4 | 310400000X | Assisted Living Facility | | | | No |
| 5 | 291U00000X | Clinical Medical Laboratory | | | | No |
| 6 | 261QM0801X | Clinic/Center | Mental Health (Including Community Mental Health Center) | | | No |
| 7 | 251C00000X | Day Training, Developmentally Disabled Services | | | | No |
| 8 | 332U00000X | Home Delivered Meals | | | | No |
| 9 | 385H00000X | Respite Care | | | | No |
| 10 | 261QB0400X | Clinic/Center | Birthing | | | No |
| 11 | 261QI0500X | Clinic/Center | Infusion Therapy | | | No |
| 12 | 177F00000X | Lodging | | | | No |
| 13 | 251S00000X | Community/Behavioral Health | | | | No |
| 14 | 251J00000X | Nursing Care | | | | No |
| 15 | 251B00000X | Case Management | | | | Yes |