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 | 251C00000X | Day Training, Developmentally Disabled Services | | | | No |
| 3 | 251S00000X | Community/Behavioral Health | | | | No |
| 4 | 251X00000X | Supports Brokerage | | | | No |
| 5 | 310400000X | Assisted Living Facility | | | | No |
| 6 | 3104A0625X | Assisted Living Facility | Assisted Living, Mental Illness | | | No |
| 7 | 320700000X | Residential Treatment Facility, Physical Disabilities | | | | No |
| 8 | 320800000X | Community Based Residential Treatment Facility, Mental Illness | | | | No |
| 9 | 385H00000X | Respite Care | | | | No |
| 10 | 385HR2050X | Respite Care | Respite Care Camp | | | No |
| 11 | 385HR2055X | Respite Care | Respite Care, Mental Illness, Child | | | No |
| 12 | 385HR2060X | Respite Care | Respite Care, Intellectual and/or Developmental Disabilities | | | No |
| 13 | 385HR2065X | Respite Care | Respite Care, Physical Disabilities, Child | | | No |
| 14 | 320900000X | Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities | | | | Yes |
