Sharper Images of Fayetteville, Inc

Primary specialty

Assisted Living Facility (Mental Illness)Taxonomy code 3104A0625X

License

0MHL-026-723 Issued in NC

Legal business name

SHARPER IMAGES OF FAYETTEVILLE, INC

Practice address

529 Albany St
Fayetteville, NC 28301-0505

Phone

(910) 484-1684

Fax

(910) 484-1684

NPI assigned

Feb 17, 2007

Organization subpart

No

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

Authorized official

Name

Lucy Sharp

Title

Ceo

Phone

(910) 484-1684

Specialties & licenses 1

Addresses

Tax ID family

Sharper Images of Fayetteville Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Sharper Images of Fayetteville, Inc

  • Assisted Living Facility (Mental Illness)
  • Raeford, NC
  • NPI 1992849467
  NPD tax ID

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

{
    "created_epoch": "1171670400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1700920261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9005",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283119079",
            "telephone_number": "910-484-1684",
            "fax_number": "910-484-1684"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "529 ALBANY ST",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283010505",
            "telephone_number": "910-484-1684",
            "fax_number": "910-484-1684"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHARPER IMAGES OF FAYETTEVILLE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SHARP",
        "authorized_official_first_name": "LUCY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "910-484-1684"
    },
    "taxonomies": [
        {
            "code": "3104A0625X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Mental Illness",
            "state": "NC",
            "license": "0MHL-026-723",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashutosh Sharma, MD
• Sarvesh Sharma
• Lauren Kendall Sharp, FNP
• Marlo Rebecca Sharp, CNM
• Shawnesty Dawn Sharpe
• Jeffrey Dale Shatterly, RPH
• Jennifer Shattuck, CRNA
• Tanveer Shaukat, MD
• Chavonne Nakia Shaw
• Dayco Lashell Shaw

• Assisted Living Facility (Mental Illness) in Fayetteville, NC
• Providers in Fayetteville, NC by specialty
• Assisted Living Facility (Mental Illness) in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.