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 | 305S00000X | Point of Service | | | | No |
| 2 | 310400000X | Assisted Living Facility | | | | No |
| 3 | 311Z00000X | Custodial Care Facility | | | | No |
| 4 | 311ZA0620X | Custodial Care Facility | Adult Care Home | | | No |
| 5 | 314000000X | Skilled Nursing Facility | | | | No |
| 6 | 320900000X | Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities | | | | No |
| 7 | 174200000X | Meals | | | | No |
| 8 | 251B00000X | Case Management | | | | No |
| 9 | 251E00000X | Home Health | | | | No |
| 10 | 251G00000X | Hospice Care, Community Based | | | | No |
| 11 | 253Z00000X | In Home Supportive Care | | | | No |
| 12 | 332U00000X | Home Delivered Meals | | | | No |
| 13 | 343900000X | Non-emergency Medical Transport (VAN) | | | | No |
| 14 | 385H00000X | Respite Care | | | | No |
| 15 | 104100000X | Social Worker | | | | Yes |
