Five J Support Services LLC

Primary specialty

Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X

Legal business name

FIVE J SUPPORT SERVICES LLC

Practice address

519 12TH St
Evanston, WY 82930-3332

Phone

(307) 679-7387

NPI assigned

Oct 13, 2026

Last updated

Oct 13, 2026By 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

Kristy Helen FaddisNPI 1225366925

Title

Owner

Phone

(307) 679-7387

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.

• Kristy H Faddis

  • Respite Care
  • Evanston, WY
  • NPI 1225366925
  NPD (past) Authorized official

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

{
    "created_epoch": "1791849600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1791849600000",
    "number": "1356246961",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "164 COUNTRY WAY",
            "city": "EVANSTON",
            "state": "WY",
            "postal_code": "829309517",
            "telephone_number": "307-679-7387"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "519 12TH ST",
            "city": "EVANSTON",
            "state": "WY",
            "postal_code": "829303332",
            "telephone_number": "307-679-7387"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIVE J SUPPORT SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-10-13",
        "last_updated": "2026-10-13",
        "certification_date": "2026-10-13",
        "status": "A",
        "authorized_official_last_name": "FADDIS",
        "authorized_official_first_name": "KRISTY",
        "authorized_official_middle_name": "HELEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "307-679-7387"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristy H Faddis
• Melissa Faddis
• Lisa Kay Faulkner
• Kelsee Jo Ficker
• Zachary Fitch, PHARMD
• Mathew Redge Flake
• James Patrick Fleenor, ANP
• Tim Floyd
• Michele Dawn Flyr
• Fortify Wyoming LLC

• Developmentally Disabled Services Day Training Agency in Evanston, WY
• Providers in Evanston, WY by specialty
• Developmentally Disabled Services Day Training Agency in Wyoming

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2026; 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.