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 | 251G00000X | Hospice Care, Community Based | | | | No |
| 2 | 174200000X | Meals | | | | No |
| 3 | 251B00000X | Case Management | | | | No |
| 4 | 251E00000X | Home Health | | | | No |
| 5 | 261QC0050X | Clinic/Center | Critical Access Hospital | | | No |
| 6 | 261QC1800X | Clinic/Center | Corporate Health | | | No |
| 7 | 261QD0000X | Clinic/Center | Dental | | | No |
| 8 | 261QP0904X | Clinic/Center | Public Health, Federal | | | No |
| 9 | 251T00000X | Program of All-Inclusive Care for the Elderly (PACE) Provider Organization | | | | No |
| 10 | 251V00000X | Voluntary or Charitable | | | | No |
| 11 | 251K00000X | Public Health or Welfare | | | | Yes |
| 12 | 282NC0060X | General Acute Care Hospital | Critical Access | | | No |