Organization Active NPI

Step by Step Inc

  • Intellectual Disabilities Intermediate Care Facility
  • Kingston, PA
National Provider Identifier
1912197773
Registry record updated Mar 2, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual Disabilities Intermediate Care FacilityTaxonomy code 315P00000X
License
608790 Issued in PA
Legal business name
STEP BY STEP INC
Practice address
270 Pringle St
Kingston, PA 18704-2743
Phone
(570) 829-3477
Fax
(570) 829-4090
NPI assigned
Jul 27, 2007
Last updated
Mar 2, 2016By the provider in NPPES
Organization subpart
Yes
Parent organization
STEP BY STEP INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 2, 2016

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

Authorized official

Name
Mr. James L. Bobeck
Title
Chief Executive Officer
Phone
(570) 829-3477

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual Disabilities Intermediate Care Facility 315P00000X 608790 PA Primary

Addresses

Primary practice location

270 Pringle St
Kingston, PA 18704-2743

Mailing address

744 Kidder St
Cross Valley Commons Building
Wilkes Barre, PA 18702-7015
Phone (570) 829-3477

Other identifiers 1

IdentifierTypeStateIssuer
1000013970223OtherPADPW PROMISE MASTER PROVID

Other names 1

  • STEP BY STEP PRINGLE ST ICF/MR Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1912197773. Details of each certification follow.

  • CCN 39G173 Intermediate care facility for individuals with intellectual disabilities · Active · Name & address match · Details

Intermediate care facility for individuals with intellectual disabilities certification: CCN 39G173

Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.

Legal name
STEP BY STEP PRINGLE
Certification status
Active
Provider type (POS)
Intermediate care facility for individuals with intellectual disabilities
Participating since
Jun 27, 1988
Last certification
Mar 5, 2025
Beds
6
Ownership / control type
Private (non-profit)
Facility address
270 Pringle Street
Kingston, PA 18704

National Provider Directory

National Provider Directory
Tax ID family
Step by Step19 organizations share this tax ID, including this one
Part of
Step by Step

Other organizations with this tax ID 18

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

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1185494400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1456876800000",
    "number": "1912197773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "744 KIDDER ST",
            "address_2": "CROSS VALLEY COMMONS BUILDING",
            "city": "WILKES BARRE",
            "state": "PA",
            "postal_code": "187027015",
            "telephone_number": "570-829-3477",
            "fax_number": "570-829-7918"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "270 PRINGLE ST",
            "city": "KINGSTON",
            "state": "PA",
            "postal_code": "187042743",
            "telephone_number": "570-829-3477",
            "fax_number": "570-829-4090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEP BY STEP INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "STEP BY STEP INC.",
        "enumeration_date": "2007-07-27",
        "last_updated": "2016-03-02",
        "status": "A",
        "authorized_official_last_name": "BOBECK",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "570-829-3477",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "315P00000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Intellectual Disabilities",
            "state": "PA",
            "license": "608790",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DPW PROMISE MASTER PROVID",
            "identifier": "1000013970223",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "STEP BY STEP PRINGLE ST ICF/MR",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Kingston, PA

Sources for this page

Verify at the official NPI Registry.