Provider Demographics
NPI:1215933601
Name:ALBRIGHT CARE SERVICES
Entity type:Organization
Organization Name:ALBRIGHT CARE SERVICES
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO/PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:SHAUN
Authorized Official - Middle Name:T
Authorized Official - Last Name:SMITH
Authorized Official - Suffix:SR
Authorized Official - Credentials:
Authorized Official - Phone:570-522-3889
Mailing Address - Street 1:1700 NORMANDIE DR
Mailing Address - Street 2:
Mailing Address - City:YORK
Mailing Address - State:PA
Mailing Address - Zip Code:17404-9748
Mailing Address - Country:US
Mailing Address - Phone:717-764-6262
Mailing Address - Fax:570-524-9068
Practice Address - Street 1:1700 NORMANDIE DR
Practice Address - Street 2:
Practice Address - City:YORK
Practice Address - State:PA
Practice Address - Zip Code:17404-9748
Practice Address - Country:US
Practice Address - Phone:570-523-2919
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:2019-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA250902314000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1007497730011Medicaid
PA1007497730011Medicaid