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 | 163W00000X | Registered Nurse | | | | Yes |
| 2 | 163WC0400X | Registered Nurse | Case Management | | | No |
| 3 | 171M00000X | Case Manager/Care Coordinator | | | | No |
| 4 | 177F00000X | Lodging | | | | No |
| 5 | 251B00000X | Case Management | | | | No |
| 6 | 251J00000X | Nursing Care | | | | No |
| 7 | 251S00000X | Community/Behavioral Health | | | | No |
| 8 | 311ZA0620X | Custodial Care Facility | Adult Care Home | | | No |
| 9 | 320600000X | Residential Treatment Facility, Intellectual and/or Developmental Disabilities | | | | No |
| 10 | 320900000X | Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities | | | | No |
| 11 | 343900000X | Non-emergency Medical Transport (VAN) | | | | No |
| 12 | 347C00000X | Private Vehicle | | | | No |
| 13 | 3747P1801X | Technician | Personal Care Attendant | | | No |
| 14 | 385H00000X | Respite Care | | | | No |
| 15 | 385HR2060X | Respite Care | Respite Care, Intellectual and/or Developmental Disabilities | | | No |