Organization Active NPI

Mid-Step Services, Inc.

Doing business as HCBS Waiver

  • Developmentally Disabled Services Day Training Agency
  • Sioux City, IA
National Provider Identifier
1790846319
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X
Legal business name
MID-STEP SERVICES, INC.
Doing business as
HCBS Waiver
Practice address
4303 Stone Ave
Sioux City, IA 51106-1912
Phone
(712) 274-2252
Fax
(712) 276-0321
NPI assigned
Dec 13, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Patti Lynn Sykora
Title
Accounting Specialist
Phone
(712) 274-2252

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Developmentally Disabled Services Day Training Agency 251C00000X Primary

Addresses

Primary practice location

4303 Stone Ave
Sioux City, IA 51106-1912

Mailing address

4303 Stone Ave
Sioux City, IA 51106-1912
Phone (712) 274-2252

Other identifiers 1

IdentifierTypeStateIssuer
0672733MedicaidIA

Other names 1

  • HCBS WAIVER Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
16D0925979Mid Step Services4303 Stone Avenue, Sioux City, IA 51106Certificate of waiverMar 11, 2027

National Provider Directory

National Provider Directory

Locations

4303 Stone Ave
Sioux City, IA 51106
Phone (712) 274-2252

NPI Registry JSON

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

{
    "created_epoch": "1165968000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1790846319",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4303 STONE AVE",
            "city": "SIOUX CITY",
            "state": "IA",
            "postal_code": "511061912",
            "telephone_number": "712-274-2252",
            "fax_number": "712-276-0321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4303 STONE AVE",
            "city": "SIOUX CITY",
            "state": "IA",
            "postal_code": "511061912",
            "telephone_number": "712-274-2252",
            "fax_number": "712-276-0321"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MID-STEP SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SYKORA",
        "authorized_official_first_name": "PATTI",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "ACCOUNTING SPECIALIST",
        "authorized_official_telephone_number": "712-274-2252",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0672733",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HCBS WAIVER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Sioux City, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.