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 | 320900000X | Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities | | | | No |
| 2 | 253Z00000X | In Home Supportive Care | | | | No |
| 3 | 385H00000X | Respite Care | | | | No |
| 4 | 261QA0600X | Clinic/Center | Adult Day Care | | | No |
| 5 | 385HR2060X | Respite Care | Respite Care, Intellectual and/or Developmental Disabilities | | | No |
| 6 | 252Y00000X | Early Intervention Provider Agency | | | | No |
| 7 | 261QD1600X | Clinic/Center | Developmental Disabilities | | | No |
| 8 | 385HR2065X | Respite Care | Respite Care, Physical Disabilities, Child | | | No |
| 9 | 251G00000X | Hospice Care, Community Based | | SIL 10445 | LOUISIANA | No |
| 10 | 251C00000X | Day Training, Developmentally Disabled Services | | | | Yes |
Other Identifiers
The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.
| No. |
Other Provider Identifier |
Other Provider Identifier Type |
Other Provider Identifier State |
Other Provider Identifier Issuer |
| 1 | 1430242 | MEDICAID | LOUISIANA | |
| 2 | 1388033 | MEDICAID | LOUISIANA | |
| 3 | 1462187 | MEDICAID | LOUISIANA | |
| 4 | 1955892 | MEDICAID | LOUISIANA | |
| 5 | 1963224 | MEDICAID | LOUISIANA | |