Friendly Support Services LTD

Primary specialty

Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X

Legal business name

FRIENDLY SUPPORT SERVICES LTD

Practice address

4300 Westford PL Unit 20a
Canfield, OH 44406-7017

Phone

(330) 507-1187

NPI assigned

Mar 1, 2021

Organization subpart

No

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

Authorized official

Name

Sharon A Bettura

Title

Director/Member

Phone

(330) 507-1187

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1614556800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1614556800000",
    "number": "1265027312",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4300 WESTFORD PL UNIT 20A",
            "city": "CANFIELD",
            "state": "OH",
            "postal_code": "444067017",
            "telephone_number": "330-507-1187"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4300 WESTFORD PL UNIT 20A",
            "city": "CANFIELD",
            "state": "OH",
            "postal_code": "444067017",
            "telephone_number": "330-507-1187"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRIENDLY SUPPORT SERVICES LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-01",
        "last_updated": "2021-03-01",
        "certification_date": "2021-03-01",
        "status": "A",
        "authorized_official_last_name": "BETTURA",
        "authorized_official_first_name": "SHARON",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "DIRECTOR/MEMBER",
        "authorized_official_telephone_number": "330-507-1187"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alessandra Flynn, OTR/L
• Thomas P Fogarty, DO
• Mark H Forsyth, MD
• Natalie Michelle Fredericka, CCC-SLP
• Cameron Lura Frick, M.S. CCC-SLP
• Kendall Frohman
• Josh Robert Fromel, DMD
• Christopher Fusco
• Jacqueline E Fyock
• Kimberly Jean Fyock, LPN

• Developmentally Disabled Services Day Training Agency in Canfield, OH
• Providers in Canfield, OH by specialty
• Developmentally Disabled Services Day Training Agency in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2021; 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.