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 | 251B00000X | Case Management | | | | No |
| 2 | 251E00000X | Home Health | | | | No |
| 3 | 320600000X | Residential Treatment Facility, Intellectual and/or Developmental Disabilities | | | | No |
| 4 | 253Z00000X | In Home Supportive Care | | | | No |
| 5 | 385H00000X | Respite Care | | | | No |
| 6 | 385HR2060X | Respite Care | Respite Care, Intellectual and/or Developmental Disabilities | | | No |
| 7 | 3747P1801X | Technician | Personal Care Attendant | | | No |
| 8 | 251C00000X | Day Training, Developmentally Disabled Services | | | | No |
| 9 | 251J00000X | Nursing Care | | | | No |
| 10 | 315P00000X | Intermediate Care Facility, Intellectual Disabilities | | | | No |
| 11 | 320900000X | Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities | | | | Yes |
