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 | 324500000X | Substance Abuse Rehabilitation Facility | | | | No |
| 2 | 251S00000X | Community/Behavioral Health | | | | No |
| 3 | 374U00000X | Home Health Aide | | | | No |
| 4 | 310500000X | Intermediate Care Facility, Mental Illness | | | | No |
| 5 | 320800000X | Community Based Residential Treatment Facility, Mental Illness | | | | No |
| 6 | 311ZA0620X | Custodial Care Facility | Adult Care Home | | | No |
| 7 | 322D00000X | Residential Treatment Facility, Emotionally Disturbed Children | | | | No |
| 8 | 3104A0625X | Assisted Living Facility | Assisted Living, Mental Illness | | | No |
| 9 | 320900000X | Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities | | | | No |
| 10 | 343900000X | Non-emergency Medical Transport (VAN) | | CBL-113201 | TENNESSEE | Yes |
