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 | 251E00000X | Home Health | | | | No |
| 2 | 253Z00000X | In Home Supportive Care | | | | No |
| 3 | 261QD1600X | Clinic/Center | Developmental Disabilities | 107202360 | CALIFORNIA | No |
| 4 | 261QM0801X | Clinic/Center | Mental Health (Including Community Mental Health Center) | | | No |
| 5 | 320600000X | Residential Treatment Facility, Intellectual and/or Developmental Disabilities | | 107203232 | CALIFORNIA | No |
| 6 | 320800000X | Community Based Residential Treatment Facility, Mental Illness | | | | No |
| 7 | 332U00000X | Home Delivered Meals | | | | No |
| 8 | 343900000X | Non-emergency Medical Transport (VAN) | | | | No |
| 9 | 347C00000X | Private Vehicle | | | | No |
| 10 | 251C00000X | Day Training, Developmentally Disabled Services | | 107202360 | CALIFORNIA | Yes |
