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 | 320600000X | Residential Treatment Facility, Intellectual and/or Developmental Disabilities | | R101799 | SOUTH CAROLINA | No |
| 2 | 320900000X | Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities | | R101799 | SOUTH CAROLINA | No |
| 3 | 315P00000X | Intermediate Care Facility, Intellectual Disabilities | | R101799 | SOUTH CAROLINA | No |
| 4 | 310500000X | Intermediate Care Facility, Mental Illness | | R101799 | SOUTH CAROLINA | No |
| 5 | 314000000X | Skilled Nursing Facility | | R101799 | SOUTH CAROLINA | No |
| 6 | 313M00000X | Nursing Facility/Intermediate Care Facility | | R101799 | SOUTH CAROLINA | No |
| 7 | 310500000X | Intermediate Care Facility, Mental Illness | | RN070514 | GEORGIA | No |
| 8 | 315P00000X | Intermediate Care Facility, Intellectual Disabilities | | RN070514 | GEORGIA | No |
| 9 | 314000000X | Skilled Nursing Facility | | RN070514 | GEORGIA | No |
| 10 | 313M00000X | Nursing Facility/Intermediate Care Facility | | RN070514 | GEORGIA | No |
| 11 | 320600000X | Residential Treatment Facility, Intellectual and/or Developmental Disabilities | | RN070514 | GEORGIA | No |
| 12 | 320900000X | Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities | | RN070514 | GEORGIA | No |
| 13 | 323P00000X | Psychiatric Residential Treatment Facility | | RN070514 | GEORGIA | No |
| 14 | 323P00000X | Psychiatric Residential Treatment Facility | | R101799 | SOUTH CAROLINA | Yes |