Organization Active NPI

Stepping Stone, Inc.

  • Intellectual and/or Developmental Disabilities Residential Treatment Facility
  • Matthews, NC
National Provider Identifier
1861676090
Registry record updated Dec 24, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X
Legal business name
STEPPING STONE, INC.
Practice address
1012 Yellow Daisy Dr
Matthews, NC 28104-4106
Phone
(704) 507-2258
NPI assigned
Dec 24, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 24, 2007

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

Authorized official

Name
Rosa Agyemang
Title
Ceo
Phone
(704) 507-2258

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Residential Treatment Facility 320600000X NC Primary

Addresses

Primary practice location

1012 Yellow Daisy Dr
Matthews, NC 28104-4106

Mailing address

PO Box 33895
Charlotte, NC 28233-3895
Phone (704) 507-2258

Other identifiers 1

IdentifierTypeStateIssuer
6604198MedicaidNC

National Provider Directory

National Provider Directory
Tax ID family
Stepping Stone Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

NPI Registry JSON

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

{
    "created_epoch": "1198454400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1198454400000",
    "number": "1861676090",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 33895",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282333895",
            "telephone_number": "704-507-2258"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1012 YELLOW DAISY DR",
            "city": "MATTHEWS",
            "state": "NC",
            "postal_code": "281044106",
            "telephone_number": "704-507-2258"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEPPING STONE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-24",
        "last_updated": "2007-12-24",
        "status": "A",
        "authorized_official_last_name": "AGYEMANG",
        "authorized_official_first_name": "ROSA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "704-507-2258"
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "NC",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6604198",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Matthews, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 24, 2007; 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.