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 | 251J00000X | Nursing Care | | | | No |
| 2 | 253Z00000X | In Home Supportive Care | | | | No |
| 3 | 332B00000X | Durable Medical Equipment & Medical Supplies | | | | Yes |
| 4 | 332BC3200X | Durable Medical Equipment & Medical Supplies | Customized Equipment | | | No |
| 5 | 332BD1200X | Durable Medical Equipment & Medical Supplies | Dialysis Equipment & Supplies | | | No |
| 6 | 332BN1400X | Durable Medical Equipment & Medical Supplies | Nursing Facility Supplies | | | No |
| 7 | 332BP3500X | Durable Medical Equipment & Medical Supplies | Parenteral & Enteral Nutrition | | | No |
| 8 | 332BX2000X | Durable Medical Equipment & Medical Supplies | Oxygen Equipment & Supplies | | | No |
| 9 | 385H00000X | Respite Care | | | | No |
| 10 | 385HR2060X | Respite Care | Respite Care, Intellectual and/or Developmental Disabilities | | | No |
| 11 | 385HR2065X | Respite Care | Respite Care, Physical Disabilities, Child | | | No |