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 | 251C00000X | Day Training, Developmentally Disabled Services | | | | No |
| 2 | 251E00000X | Home Health | | | | No |
| 3 | 251G00000X | Hospice Care, Community Based | | | | No |
| 4 | 251J00000X | Nursing Care | | | | No |
| 5 | 251S00000X | Community/Behavioral Health | | | | No |
| 6 | 251X00000X | Supports Brokerage | | | | No |
| 7 | 253Z00000X | In Home Supportive Care | | | | No |
| 8 | 261QM0801X | Clinic/Center | Mental Health (Including Community Mental Health Center) | | | No |
| 9 | 261QM0850X | Clinic/Center | Adult Mental Health | | | No |
| 10 | 261QR0405X | Clinic/Center | Rehabilitation, Substance Use Disorder | | | No |
| 11 | 261QR0800X | Clinic/Center | Recovery Care | | | No |
| 12 | 310400000X | Assisted Living Facility | | | | Yes |
| 13 | 3104A0625X | Assisted Living Facility | Assisted Living, Mental Illness | | | No |
| 14 | 3104A0630X | Assisted Living Facility | Assisted Living, Behavioral Disturbances | | | No |
| 15 | 332U00000X | Home Delivered Meals | | | | No |
