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 | 251B00000X | Case Management | | | | No |
| 2 | 251J00000X | Nursing Care | | | | No |
| 3 | 251V00000X | Voluntary or Charitable | | | | No |
| 4 | 302R00000X | Health Maintenance Organization | | | | No |
| 5 | 305S00000X | Point of Service | | | | No |
| 6 | 3104A0625X | Assisted Living Facility | Assisted Living, Mental Illness | | | No |
| 7 | 3104A0630X | Assisted Living Facility | Assisted Living, Behavioral Disturbances | | | No |
| 8 | 332U00000X | Home Delivered Meals | | | | No |
| 9 | 253Z00000X | In Home Supportive Care | | | | Yes |