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 | 207QH0002X | Family Medicine | Hospice and Palliative Medicine | | | No |
| 2 | 2251X0800X | Physical Therapist | Orthopedic | | | No |
| 3 | 251C00000X | Day Training, Developmentally Disabled Services | | | | No |
| 4 | 251E00000X | Home Health | | | | No |
| 5 | 251J00000X | Nursing Care | | | | No |
| 6 | 251X00000X | Supports Brokerage | | | | No |
| 7 | 253Z00000X | In Home Supportive Care | | | | No |
| 8 | 343900000X | Non-emergency Medical Transport (VAN) | | | | No |
| 9 | 372500000X | Chore Provider | | | | No |
| 10 | 385H00000X | Respite Care | | | | No |
| 11 | 385HR2060X | Respite Care | Respite Care, Intellectual and/or Developmental Disabilities | | | No |
| 12 | 385HR2065X | Respite Care | Respite Care, Physical Disabilities, Child | | | No |
| 13 | 163WH0200X | Registered Nurse | Home Health | | | Yes |