Stepping Stones Assisted Living Facility

Primary specialty

Assisted Living Facility (Mental Illness)Taxonomy code 3104A0625X

Legal business name

STEPPING STONES ASSISTED LIVING FACILITY

Practice address

183 SE Columbus TRL
Madison, FL 32340-3100

Phone

(850) 464-9617

NPI assigned

May 29, 2022

Organization subpart

No

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

Authorized official

Name

Mrs. Stacey DanielsNPI 1184262164

Title

Administrator

Phone

(850) 464-9617

Specialties & licenses 3

Addresses

Other identifiers 1

Other names 2

• Stepping Stones Assisted Living Facility Doing business as
• Stacey Daniels Former legal business name

Electronic endpoints 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Stacey Daniels

  • Assisted Living Facility
  • Madison, FL
  • NPI 1184262164
  NPD Authorized official

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

{
    "created_epoch": "1653782400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1653782400000",
    "number": "1639818693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "183 SE COLUMBUS TRL",
            "city": "MADISON",
            "state": "FL",
            "postal_code": "323403100",
            "telephone_number": "850-464-9617"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "183 SE COLUMBUS TRL",
            "city": "MADISON",
            "state": "FL",
            "postal_code": "323403100",
            "telephone_number": "850-464-9617"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEPPING STONES ASSISTED LIVING FACILITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-29",
        "last_updated": "2022-05-29",
        "certification_date": "2022-05-29",
        "status": "A",
        "authorized_official_last_name": "DANIELS",
        "authorized_official_first_name": "STACEY",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "850-464-9617",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3104A0625X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Mental Illness",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3104A0630X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Behavioral Disturbances",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "113658300",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "staceyaryana@yahoo.com",
            "affiliation": "N",
            "address_1": "183 SE Columbus Trl",
            "city": "Madison",
            "state": "FL",
            "country_code": "US",
            "postal_code": "323403100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Stepping Stones Assisted Living Facility",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Stacey Daniels",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Chandra Smith, OT/L
• Rose Marie Smith, PTA
• Southland EMS at Madison, PLLC
• Spencerkare Transport LLC
• Waylon Spicer, COTA
• Stepping Stones Transportation
• Michael O Stick, M.D.
• Tiffany S Strickland, APRN-C
• Supportive Care LLC
• Tallahassee Memorial Healthcare Inc

• All providers in Madison, FL
• Assisted Living Facility (Mental Illness) in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2022; 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.