Provider Demographics
NPI:1104138395
Name:ALBRIGHT HEALTH SERVICES, INC.
Entity type:Organization
Organization Name:ALBRIGHT HEALTH SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF EXECUTIVE OFFICER
Authorized Official - Prefix:MR
Authorized Official - First Name:RANDOLPH
Authorized Official - Middle Name:
Authorized Official - Last Name:CASCOLAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:708-615-9287
Mailing Address - Street 1:9909 W ROOSEVELT RD
Mailing Address - Street 2:SUITE 208A
Mailing Address - City:WESTCHESTER
Mailing Address - State:IL
Mailing Address - Zip Code:60154-2773
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:9909 W ROOSEVELT RD
Practice Address - Street 2:SUITE 208A
Practice Address - City:WESTCHESTER
Practice Address - State:IL
Practice Address - Zip Code:60154-2773
Practice Address - Country:US
Practice Address - Phone:708-615-9187
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-07-05
Last Update Date:2010-07-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL1011259251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health