Sharon Lanelle Faubush

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

AL8314H Issued in AZ

Practice address

7760 S Six Shooter Canyon Rd
Globe, AZ 85501-4078

Phone

(928) 793-4603

NPI assigned

Feb 21, 2021

Last updated

Feb 21, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1613865600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613865600000",
    "number": "1861086829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1584",
            "city": "GLOBE",
            "state": "AZ",
            "postal_code": "855021584",
            "telephone_number": "928-961-4828",
            "fax_number": "928-793-4029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7760 S SIX SHOOTER CANYON RD",
            "city": "GLOBE",
            "state": "AZ",
            "postal_code": "855014078",
            "telephone_number": "928-793-4603"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAUBUSH",
        "first_name": "SHARON",
        "middle_name": "LANELLE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-02-21",
        "last_updated": "2021-02-21",
        "certification_date": "2021-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "AZ",
            "license": "AL8314H",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ARIZONA LONG TERM CARE",
            "identifier": "546436",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ARIZONA LONG TERM CARE",
            "identifier": "482790",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Assisted Living Facility in Globe, AZ
• Providers in Globe, AZ by specialty
• Assisted Living Facility in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 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.