Provider Demographics
NPI:1225228893
Name:STEP BY STEP INC.
Entity Type:Organization
Organization Name:STEP BY STEP INC.
Other - Org Name:STEP BY STEP THIRD ST ICF/MR
Other - Org Type:Other Name
Authorized Official - Title/Position:CHIEF EXECUTIVE OFFICER
Authorized Official - Prefix:MR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:L
Authorized Official - Last Name:BOBECK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:570-829-3477
Mailing Address - Street 1:744 KIDDER ST
Mailing Address - Street 2:CROSS VALLEY COMMONS BUILDING
Mailing Address - City:WILKES BARRE
Mailing Address - State:PA
Mailing Address - Zip Code:18702-7015
Mailing Address - Country:US
Mailing Address - Phone:570-829-3477
Mailing Address - Fax:570-829-7918
Practice Address - Street 1:111 3RD ST
Practice Address - Street 2:
Practice Address - City:CARNEGIE
Practice Address - State:PA
Practice Address - Zip Code:15106-2579
Practice Address - Country:US
Practice Address - Phone:412-635-8677
Practice Address - Fax:412-655-3294
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:STEP BY STEP INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2007-07-30
Last Update Date:2016-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA845660315P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes315P00000XNursing & Custodial Care FacilitiesIntermediate Care Facility, Intellectual Disabilities
Provider Identifiers
StateIdentifier IDID TypeIssuer
PW1000013970231OtherDPW MASTER PROVIDER INDEX