Provider Demographics
NPI:1609174812
Name:BELINDA ELOISE ALBRIGHT
Entity Type:Organization
Organization Name:BELINDA ELOISE ALBRIGHT
Other - Org Name:ALBRIGHT FOSTER CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:BELINDA
Authorized Official - Middle Name:ELOISE
Authorized Official - Last Name:ALBRIGHT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:817-294-5915
Mailing Address - Street 1:7636 RED WILLOW RD
Mailing Address - Street 2:
Mailing Address - City:FORT WORTH
Mailing Address - State:TX
Mailing Address - Zip Code:76133-7571
Mailing Address - Country:US
Mailing Address - Phone:817-294-5915
Mailing Address - Fax:817-294-3742
Practice Address - Street 1:7636 RED WILLOW RD
Practice Address - Street 2:
Practice Address - City:FORT WORTH
Practice Address - State:TX
Practice Address - Zip Code:76133-7571
Practice Address - Country:US
Practice Address - Phone:817-294-5915
Practice Address - Fax:817-294-3742
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-03-11
Last Update Date:2011-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX129193310400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX000686400OtherDEPT AGED & DISABLED
TX000686300OtherRESPITE
TX000686300OtherDEPT AGED & DISABLED SERVICE
TX000686400OtherCCAD
TX0006864000OtherMEDICAID
TX000686400OtherCBA