MEDICARE: MRS. BELINDA ELOISE ALBRIGHT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	3747A0650X	Attendant Care Provider	119544	TX
2	310400000X	Assisted Living Facility

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	000686300	OTHER	TX	DEPT AGED & DISABLED SVC
2	000686400	OTHER	TX	DEPT AGED & DISABLED SVC
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	000686300	OTHER	TX	RESPITE
5	000686400	OTHER	TX	CCAD
6	000686400	OTHER	TX	CBA
7	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1568597391
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. BELINDA ELOISE ALBRIGHT

Provider Business Mailing Address
First Line	:	7636 RED WILLOW RD
Second Line	:
City	:	FT WORTH
State	:	TX
Zip	:	76133-7571
Country	:	US
Telephone Number	:	817-706-2409
Fax Number	:

Provider Business Practice Location Address
First Line	:	7636 RED WILLOW RD
Second Line	:
City	:	FT WORTH
State	:	TX
Zip	:	76133-7571
Country	:	US
Telephone Number	:	817-294-5915
Fax Number	:	817-294-3742

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/22/2007
Last Update Date	:	11/12/2021

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