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 | 171W00000X | Contractor | | IHCP-1594 | SOUTH CAROLINA | No |
| 2 | 172V00000X | Community Health Worker | | | | No |
| 3 | 174H00000X | Health Educator | | | | No |
| 4 | 246RP1900X | Technician, Pathology | Phlebotomy | | | No |
| 5 | 251E00000X | Home Health | | | | No |
| 6 | 251G00000X | Hospice Care, Community Based | | | | No |
| 7 | 310400000X | Assisted Living Facility | | | | No |
| 8 | 343900000X | Non-emergency Medical Transport (VAN) | | | | No |
| 9 | 372600000X | Adult Companion | | | | No |
| 10 | 3747P1801X | Technician | Personal Care Attendant | | | No |
| 11 | 374U00000X | Home Health Aide | | | | No |
| 12 | 385H00000X | Respite Care | | | | No |
| 13 | 385HR2065X | Respite Care | Respite Care, Physical Disabilities, Child | | | No |
| 14 | 390200000X | Student in an Organized Health Care Education/Training Program | | | | No |
| 15 | 376K00000X | Nurse's Aide | | 166695 | SOUTH CAROLINA | 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 | 166696 | OTHER | SOUTH CAROLINA | CNA |
| 2 | 419524 | OTHER | NORTH CAROLINA | CNA |
