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 | 261QA0600X | Clinic/Center | Adult Day Care | | | No |
| 2 | 261QC1500X | Clinic/Center | Community Health | | | No |
| 3 | 320900000X | Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities | | | | No |
| 4 | 343900000X | Non-emergency Medical Transport (VAN) | | | | No |
| 5 | 347C00000X | Private Vehicle | | | | No |
| 6 | 376G00000X | Nursing Home Administrator | | | | No |
| 7 | 385H00000X | Respite Care | | | | No |
| 8 | 251S00000X | Community/Behavioral Health | | | | Yes |