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 | 251C00000X | Day Training, Developmentally Disabled Services | | | | No |
| 2 | 251E00000X | Home Health | | | | No |
| 3 | 251V00000X | Voluntary or Charitable | | | | No |
| 4 | 261QA0600X | Clinic/Center | Adult Day Care | | | No |
| 5 | 261QH0700X | Clinic/Center | Hearing and Speech | | | No |
| 6 | 311Z00000X | Custodial Care Facility | | | | No |
| 7 | 311ZA0620X | Custodial Care Facility | Adult Care Home | | | No |
| 8 | 320600000X | Residential Treatment Facility, Intellectual and/or Developmental Disabilities | | | | Yes |
| 9 | 320700000X | Residential Treatment Facility, Physical Disabilities | | | | No |
| 10 | 320800000X | Community Based Residential Treatment Facility, Mental Illness | | | | No |
| 11 | 320900000X | Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities | | | | No |
| 12 | 343900000X | Non-emergency Medical Transport (VAN) | | | | No |
| 13 | 347C00000X | Private Vehicle | | | | No |
| 14 | 385HR2060X | Respite Care | Respite Care, Intellectual and/or Developmental Disabilities | | | No |
| 15 | 385HR2065X | Respite Care | Respite Care, Physical Disabilities, Child | | | No |