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 | 251T00000X | Program of All-Inclusive Care for the Elderly (PACE) Provider Organization | | | | No |
| 3 | 385H00000X | Respite Care | | | | No |
| 4 | 320800000X | Community Based Residential Treatment Facility, Mental Illness | | | | No |
| 5 | 261QM0801X | Clinic/Center | Mental Health (Including Community Mental Health Center) | | | No |
| 6 | 322D00000X | Residential Treatment Facility, Emotionally Disturbed Children | | | | No |
| 7 | 251J00000X | Nursing Care | | | | No |
| 8 | 251S00000X | Community/Behavioral Health | | | | Yes |