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 | 251E00000X | Home Health | | HNC02310 | RHODE ISLAND | No |
| 2 | 251E00000X | Home Health | | HNC02355 | RHODE ISLAND | No |
| 3 | 251E00000X | Home Health | | HNC02384 | RHODE ISLAND | Yes |
Other Identifiers
The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.
| No. |
Other Provider Identifier |
Other Provider Identifier Type |
Other Provider Identifier State |
Other Provider Identifier Issuer |
| 1 | TL57249 | MEDICAID | RHODE ISLAND | |
| 2 | 407349 002 | OTHER | RHODE ISLAND | RI BEHAVIORAL HEALTH |
| 3 | 5881 4 | OTHER | RHODE ISLAND | RI BLUE CROSS BLUE SHEILD |
| 4 | 5881 4 | OTHER | RHODE ISLAND | RI HEALTHMATE COAST TO CO |
| 5 | 407349 002 | OTHER | RHODE ISLAND | RI BLUE CHIP PLUS CHO |
| 6 | 407349 002 | OTHER | RHODE ISLAND | RI BLUE CHIP |
| 7 | 1758A 2146 | OTHER | RHODE ISLAND | NIEGHBORHOOD HEALTH PLAN |
| 8 | 5881-4 | OTHER | RHODE ISLAND | RI BEACON MUTUAL INS. CO. |
| 9 | TL56604 | MEDICAID | RHODE ISLAND | |
| 10 | TL57250 | MEDICAID | RHODE ISLAND | |
| 11 | 417036 | MEDICARE OSCAR/CERTIFICATION | RHODE ISLAND | |