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 | 251T00000X | Program of All-Inclusive Care for the Elderly (PACE) Provider Organization | | | | No |
| 2 | 385H00000X | Respite Care | | | | No |
| 3 | 313M00000X | Nursing Facility/Intermediate Care Facility | | | | No |
| 4 | 311ZA0620X | Custodial Care Facility | Adult Care Home | | | No |
| 5 | 385HR2060X | Respite Care | Respite Care, Intellectual and/or Developmental Disabilities | | | No |
| 6 | 251G00000X | Hospice Care, Community Based | | | | No |
| 7 | 310500000X | Intermediate Care Facility, Mental Illness | | | | No |
| 8 | 251C00000X | Day Training, Developmentally Disabled Services | | | | No |
| 9 | 251B00000X | Case Management | | | | No |
| 10 | 251K00000X | Public Health or Welfare | | | | No |
| 11 | 253Z00000X | In Home Supportive Care | | | | Yes |