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 | 261QR0401X | Clinic/Center | Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) | | | No |
| 2 | 3104A0625X | Assisted Living Facility | Assisted Living, Mental Illness | | | No |
| 3 | 3104A0630X | Assisted Living Facility | Assisted Living, Behavioral Disturbances | | | No |
| 4 | 310500000X | Intermediate Care Facility, Mental Illness | | | | No |
| 5 | 311500000X | Alzheimer Center (Dementia Center) | | | | No |
| 6 | 311Z00000X | Custodial Care Facility | | | | No |
| 7 | 311ZA0620X | Custodial Care Facility | Adult Care Home | | | No |
| 8 | 313M00000X | Nursing Facility/Intermediate Care Facility | | | | No |
| 9 | 314000000X | Skilled Nursing Facility | | | | No |
| 10 | 3140N1450X | Skilled Nursing Facility | Nursing Care, Pediatric | | | No |
| 11 | 315P00000X | Intermediate Care Facility, Intellectual Disabilities | | | | No |
| 12 | 320800000X | Community Based Residential Treatment Facility, Mental Illness | | | | No |
| 13 | 320900000X | Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities | | | | No |
| 14 | 343900000X | Non-emergency Medical Transport (VAN) | | | | No |
| 15 | 310400000X | Assisted Living Facility | | | | Yes |
