| Home Infusion | 251F00000X | |
| Hospice Care, Community Based | 251G00000X | |
| Voluntary or Charitable | 251V00000X | |
| In Home Supportive Care | 253Z00000X | |
| Clinical Medical Laboratory | 291U00000X | |
| Substance Abuse Rehabilitation Facility | 324500000X | |
| Durable Medical Equipment & Medical Supplies - Dialysis Equipment & Supplies — Dialysis Equipment & Supplies | 332BD1200X | |
| Durable Medical Equipment & Medical Supplies - Parenteral & Enteral Nutrition — Parenteral & Enteral Nutrition | 332BP3500X | |
| Durable Medical Equipment & Medical Supplies - Oxygen Equipment & Supplies — Oxygen Equipment & Supplies | 332BX2000X | |
| Home Delivered Meals | 332U00000X | |
| Pharmacy | 333600000X | |
| Pharmacy - Mail Order Pharmacy — Mail Order Pharmacy | 3336M0002X | |
| Non-emergency Medical Transport (VAN) | 343900000X | |
| Respite Care | 385H00000X | |
| Home Health | 251E00000X | Primary |
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