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 | 251B00000X | Case Management | | | | No |
| 2 | 253Z00000X | In Home Supportive Care | | | | No |
| 3 | 251S00000X | Community/Behavioral Health | | | | No |
| 4 | 324500000X | Substance Abuse Rehabilitation Facility | | | | No |
| 5 | 315P00000X | Intermediate Care Facility, Intellectual Disabilities | | | | No |
| 6 | 385H00000X | Respite Care | | | | No |
| 7 | 320900000X | Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities | | | | No |
| 8 | 320800000X | Community Based Residential Treatment Facility, Mental Illness | | | | No |
| 9 | 251C00000X | Day Training, Developmentally Disabled Services | | | | No |
| 10 | 385HR2060X | Respite Care | Respite Care, Intellectual and/or Developmental Disabilities | | | No |
| 11 | 320700000X | Residential Treatment Facility, Physical Disabilities | | | | No |
| 12 | 261QM0801X | Clinic/Center | Mental Health (Including Community Mental Health Center) | | | No |
| 13 | 261QD1600X | Clinic/Center | Developmental Disabilities | | | No |
| 14 | 320600000X | Residential Treatment Facility, Intellectual and/or Developmental Disabilities | | | | Yes |
