Stepping Stone Support Services LLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

STEPPING STONE SUPPORT SERVICES LLC

Practice address

11901 Central Park Way Unit 2427
Maple Grove, MN 55369-2669

Phone

(267) 577-2718

NPI assigned

May 29, 2024

Organization subpart

No

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

Authorized official

Name

Soko Abrahim Sirleaf

Title

Owner

Phone

(267) 577-2718

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1716940800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1716940800000",
    "number": "1205676145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11901 CENTRAL PARK WAY UNIT 2427",
            "city": "MAPLE GROVE",
            "state": "MN",
            "postal_code": "553692669",
            "telephone_number": "267-577-2718"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11901 CENTRAL PARK WAY UNIT 2427",
            "city": "MAPLE GROVE",
            "state": "MN",
            "postal_code": "553692669",
            "telephone_number": "267-577-2718"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEPPING STONE SUPPORT SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-29",
        "last_updated": "2024-05-29",
        "certification_date": "2024-05-29",
        "status": "A",
        "authorized_official_last_name": "SIRLEAF",
        "authorized_official_first_name": "SOKO",
        "authorized_official_middle_name": "ABRAHIM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "267-577-2718"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ida Steingas, OTR/L
• Sandra Jean Stenerson
• Corey J Stennes, MD
• Karissa A Stensgard, PT, DPT
• Erin Clifford Stepka, M.D., PH.D.
• Stepping Stone Transitions LLC
• Joshua Charles Stevens
• Michael Stiegler, M.D.
• Kelly Stocke, RN
• Jennifer Stoffers, CNM

• Clinic/Center in Maple Grove, MN
• Providers in Maple Grove, MN by specialty
• Clinic/Center in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 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.