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 | 171M00000X | Case Manager/Care Coordinator | | | | No |
| 2 | 172A00000X | Driver | | | | No |
| 3 | 174200000X | Meals | | | | No |
| 4 | 251S00000X | Community/Behavioral Health | | | | No |
| 5 | 320900000X | Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities | | | | No |
| 6 | 332U00000X | Home Delivered Meals | | | | No |
| 7 | 343900000X | Non-emergency Medical Transport (VAN) | | | | No |
| 8 | 347C00000X | Private Vehicle | | | | No |
| 9 | 374U00000X | Home Health Aide | | | | No |
| 10 | 320800000X | Community Based Residential Treatment Facility, Mental Illness | | | | Yes |
