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 | 171W00000X | Contractor | | 23-762084 | CALIFORNIA | No |
| 2 | 171WH0202X | Contractor | Home Modifications | 23-762084 | CALIFORNIA | No |
| 3 | 171WV0202X | Contractor | Vehicle Modifications | 23-762084 | CALIFORNIA | No |
| 4 | 172A00000X | Driver | | 23-762084 | CALIFORNIA | No |
| 5 | 251E00000X | Home Health | | 23-762084 | CALIFORNIA | No |
| 6 | 253Z00000X | In Home Supportive Care | | 23-762084 | CALIFORNIA | No |
| 7 | 347C00000X | Private Vehicle | | 23-762084 | CALIFORNIA | No |
| 8 | 372500000X | Chore Provider | | 23-762084 | CALIFORNIA | No |
| 9 | 372600000X | Adult Companion | | 23-762084 | CALIFORNIA | No |
| 10 | 374U00000X | Home Health Aide | | 23-762084 | CALIFORNIA | No |
| 11 | 332BC3200X | Durable Medical Equipment & Medical Supplies | Customized Equipment | 23-762084 | CALIFORNIA | Yes |
