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 | 171WH0202X | Contractor | Home Modifications | | | No |
| 2 | 174200000X | Meals | | | | No |
| 3 | 177F00000X | Lodging | | | | No |
| 4 | 251C00000X | Day Training, Developmentally Disabled Services | | | | No |
| 5 | 251E00000X | Home Health | | | | No |
| 6 | 251J00000X | Nursing Care | | | | No |
| 7 | 251S00000X | Community/Behavioral Health | | | | No |
| 8 | 253Z00000X | In Home Supportive Care | | | | No |
| 9 | 276400000X | Rehabilitation, Substance Use Disorder Unit | | | | No |
| 10 | 310400000X | Assisted Living Facility | | | | Yes |
| 11 | 3104A0630X | Assisted Living Facility | Assisted Living, Behavioral Disturbances | | | No |
| 12 | 311ZA0620X | Custodial Care Facility | Adult Care Home | | | No |
| 13 | 385HR2060X | Respite Care | Respite Care, Intellectual and/or Developmental Disabilities | | | No |