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 | 1041C0700X | Social Worker | Clinical | | | No |
| 2 | 172V00000X | Community Health Worker | | | | No |
| 3 | 174200000X | Meals | | | | No |
| 4 | 177F00000X | Lodging | | | | No |
| 5 | 251F00000X | Home Infusion | | | | No |
| 6 | 251G00000X | Hospice Care, Community Based | | | | No |
| 7 | 311ZA0620X | Custodial Care Facility | Adult Care Home | | | No |
| 8 | 320900000X | Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities | | | | No |
| 9 | 343900000X | Non-emergency Medical Transport (VAN) | | | | No |
| 10 | 364SH0200X | Clinical Nurse Specialist | Home Health | | | No |
| 11 | 374U00000X | Home Health Aide | | | | No |
| 12 | 251E00000X | Home Health | | | | Yes |