4Betties Angels LLC

Primary specialty

Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X

Legal business name

4BETTIES ANGELS LLC

Practice address

129 14TH St NE Ste D
Canton, OH 44714-2500

Phone

(330) 415-8924

NPI assigned

Apr 19, 2023

Last updated

Jan 22, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

De-Shawnay Bettieana-Taniesha DanielsNPI 1710680178

Title

Owner

Phone

(330) 371-8985

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• De-Shawnay Bettieana-Taniesha Daniels

  • Day Training/Habilitation Specialist
  • Canton, OH
  • NPI 1710680178
  NPD Authorized official

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

{
    "created_epoch": "1681862400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1737504000000",
    "number": "1346937414",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1613 2ND ST NE",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447041705",
            "telephone_number": "330-371-8985"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "129 14TH ST NE STE D",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447142500",
            "telephone_number": "330-415-8924"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "4BETTIES ANGELS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-19",
        "last_updated": "2025-01-22",
        "certification_date": "2025-01-22",
        "status": "A",
        "authorized_official_last_name": "DANIELS",
        "authorized_official_first_name": "DE-SHAWNAY",
        "authorized_official_middle_name": "BETTIEANA-TANIESHA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "330-371-8985"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Developmentally Disabled Services Day Training Agency in Canton, OH
• Providers in Canton, 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 Jan 22, 2025; 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.