Provider Demographics
NPI:1053317446
Name:ALBRIGHT CARE SERVICES
Entity Type:Organization
Organization Name:ALBRIGHT CARE SERVICES
Other - Org Name:RIVERWOODS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT/CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:SHAUN
Authorized Official - Middle Name:T
Authorized Official - Last Name:SMITH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:570-522-3889
Mailing Address - Street 1:3201 RIVER RD
Mailing Address - Street 2:
Mailing Address - City:LEWISBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17837-9255
Mailing Address - Country:US
Mailing Address - Phone:570-522-6220
Mailing Address - Fax:
Practice Address - Street 1:15 RIDGECREST CIR
Practice Address - Street 2:
Practice Address - City:LEWISBURG
Practice Address - State:PA
Practice Address - Zip Code:17837-6367
Practice Address - Country:US
Practice Address - Phone:570-522-6220
Practice Address - Fax:570-524-9068
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ALBRIGHT CARE SERVICES
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2005-06-22
Last Update Date:2016-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA121702314000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1053317446Medicaid
PA395283Medicare ID - Type UnspecifiedMEDICARE PROVIDER NUMBER