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 | 101YM0800X | Counselor | Mental Health | | | No |
| 2 | 103TH0100X | Psychologist | Health Service | | | No |
| 3 | 174200000X | Meals | | | | No |
| 4 | 251B00000X | Case Management | | | | No |
| 5 | 251C00000X | Day Training, Developmentally Disabled Services | | | | No |
| 6 | 251E00000X | Home Health | | | | No |
| 7 | 251G00000X | Hospice Care, Community Based | | | | No |
| 8 | 253Z00000X | In Home Supportive Care | | | | No |
| 9 | 3104A0625X | Assisted Living Facility | Assisted Living, Mental Illness | | | No |
| 10 | 313M00000X | Nursing Facility/Intermediate Care Facility | | | | No |
| 11 | 332B00000X | Durable Medical Equipment & Medical Supplies | | | | No |
| 12 | 372600000X | Adult Companion | | | | No |
| 13 | 374U00000X | Home Health Aide | | | | No |
| 14 | 310400000X | Assisted Living Facility | | | | Yes |