NPIMap

Organization Active NPI

Stepping Stones of Rockford, Inc.

  • Mental Illness Community Based Residential Treatment Facility
  • Rockford, IL
National Provider Identifier
1033527247
Registry record updated Apr 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X
License
04130 Issued in IL
Legal business name
STEPPING STONES OF ROCKFORD, INC.
Practice address
2825 Glenwood Ave
Rockford, IL 61101-3542
Phone
(815) 963-0683
NPI assigned
Jul 31, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Candice D O'Brien
Title
Director of Finance
Phone
(815) 742-0527

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Illness Community Based Residential Treatment Facility 320800000X 04130 IL Primary

Addresses

Primary practice location

2825 Glenwood Ave
Rockford, IL 61101-3542

Mailing address

706 N Main St
Rockford, IL 61103-6904
Phone (815) 963-0683

National Provider Directory

National Provider Directory
Tax ID family
Stepping Stones of Rockford14 organizations share this tax ID, including this one

Other organizations with this tax ID 13

Organizations that report the same tax identification number in the National Provider Directory.

View all 13

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1406764800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1713139200000",
    "number": "1033527247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "706 N MAIN ST",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611036904",
            "telephone_number": "815-963-0683"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2825 GLENWOOD AVE",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611013542",
            "telephone_number": "815-963-0683"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEPPING STONES OF ROCKFORD, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-31",
        "last_updated": "2024-04-15",
        "certification_date": "2024-04-15",
        "status": "A",
        "authorized_official_last_name": "O'BRIEN",
        "authorized_official_first_name": "CANDICE",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "DIRECTOR OF FINANCE",
        "authorized_official_telephone_number": "815-742-0527"
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": "IL",
            "license": "04130",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockford, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.