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 | 251B00000X | Case Management | | | | No |
| 2 | 251C00000X | Day Training, Developmentally Disabled Services | | | | No |
| 3 | 251E00000X | Home Health | | | | No |
| 4 | 251G00000X | Hospice Care, Community Based | | | | No |
| 5 | 251S00000X | Community/Behavioral Health | | | | No |
| 6 | 253Z00000X | In Home Supportive Care | | | | No |
| 7 | 261QM0850X | Clinic/Center | Adult Mental Health | | | No |
| 8 | 261QR0400X | Clinic/Center | Rehabilitation | | | No |
| 9 | 320900000X | Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities | | | | No |
| 10 | 322D00000X | Residential Treatment Facility, Emotionally Disturbed Children | | | | No |
| 11 | 347C00000X | Private Vehicle | | | | No |
| 12 | 385H00000X | Respite Care | | | | No |
| 13 | 385HR2055X | Respite Care | Respite Care, Mental Illness, Child | | | No |
| 14 | 385HR2060X | Respite Care | Respite Care, Intellectual and/or Developmental Disabilities | | | No |
| 15 | 320600000X | Residential Treatment Facility, Intellectual and/or Developmental Disabilities | | | | Yes |
