TABITHA INC (NPI# 1518288414) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1518288414 |
Entity Type | Organization |
Organization Name | TABITHA INC |
Other Organization Name | TABITHA IN CRETE: THE GARDENS |
Practice Address |
4720 Randolph Street Lincoln NE 68510-3741 |
Practice Telephone | 4024837671 |
Practice Fax Number | 4024868539 |
Mailing Telephone | 4024837671 |
Mailing Fax Number | 4024868539 |
Enumeration Date | 2010-06-15 |
Last Update Date | 2015-08-26 |
Authorized Official Name | MRS. DARCIE L BRINK (CHIEF FINANCIAL OFFICER & SR. VP) |
Authorized Official Telephone | 4024868538 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 310400000X | Assisted Living Facility | ALF063 | NE | Nursing & Custodial Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
NE | 10025201000 | 05 | |
NE | 100252010-00 | 05 |
Other Name | Type Code |
---|---|
Tabitha in Crete: The Gardens | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1437546033 | Tabitha Inc | Skilled Nursing Facility | 3355 Orwell St, Lincoln, NE 68516-6624 | 2015-04-21 |
1699100214 | Tabitha Inc | Skilled Nursing Facility | 6120 South 34th Street, Lincoln, NE 68516 | 2013-09-13 |
1659663870 | Tabitha Inc | Assisted Living Facility | 4620 Randolph St, Lincoln, NE 68510-3739 | 2011-05-05 |
1740525450 | Tabitha Inc | Nursing Care | 4720 Randolph St, Lincoln, NE 68510-3741 | 2012-12-06 |
1548326986 | Tabitha Inc | Home Health | 4720 Randolph Street, Lincoln, NE 68510-3741 | 2006-12-29 |
Street Address |
4720 RANDOLPH STREET |
City | LINCOLN |
State | NE |
Zip Code | 68510-3741 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1275614851 | Angelia Kay Cardwell | Nurse Practitioner | 4720 Randolph Street, Lincoln, NE 68510 | 2006-10-18 |
1588961460 | Joshua John Kohles | Occupational Therapist | 4720 Randolph Street, Lincoln, NE 68510-3741 | 2011-02-11 |
1235435942 | Terri Jo Vontz | Speech-Language Pathologist | 4720 Randolph Street, Lincoln, NE 68510-3741 | 2011-01-28 |
1205132917 | Samantha D. Hoffman | Occupational Therapist | 4720 Randolph Street, Lincoln, NE 68510-3741 | 2011-01-28 |
1831356120 | Jennifer Jo Lorenz | Speech-Language Pathologist | 4720 Randolph Street, Lincoln, NE 68510-3741 | 2008-05-22 |
1861682635 | Traci K Carey | Physical Therapist | 4720 Randolph Street, Lincoln, NE 68510-3741 | 2007-07-27 |
1548326986 | Tabitha Inc | Home Health | 4720 Randolph Street, Lincoln, NE 68510-3741 | 2006-12-29 |
1225117385 | Tabitha, Inc. | Nursing Facility/Intermediate Care Facility | 4720 Randolph Street, Lincoln, NE 68510-3741 | 2006-11-02 |
1720163298 | Tabitha, Inc. | Home Health | 4720 Randolph Street, Lincoln, NE 68510-3741 | 2006-10-25 |
1275618753 | Tabitha, Inc. | Hospice Care, Community Based | 4720 Randolph Street, Lincoln, NE 68510-3741 | 2006-10-25 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1659925121 | Nichole Renee Boggs | Pharmacist | 7045 O St., Lincoln, NE 68510 | 2019-08-01 |
1700361573 | Sue Marie Maxwell | Licensed Practical Nurse | Lincoln Public Schools, 5905 O Street, Lincoln, NE 68510 | 2018-09-27 |
1649752759 | Kathryn Jean Kuzelka | Licensed Practical Nurse | 544 South 28th Street, Lincoln, NE 68510 | 2018-09-05 |
1013404599 | Amanda Ehlers | Registered Nurse | Lps District Office, 5905 O Street, Lincoln, NE 68510 | 2018-04-19 |
1225535081 | Jana Kathleen Mcnemar | Counselor | 245 South 84th Street, Suite 212, Lincoln, NE 68510 | 2018-04-09 |
1265932313 | Kimberly Elwood | Specialist/Technologist | 2229 J St., Lincoln, NE 68510 | 2018-02-15 |
1881193266 | Susan Kangas-packett | Registered Nurse | 1000 South 70th St., East High School, Health Office, Lincoln, NE 68510 | 2018-02-12 |
1023517000 | Tara Johnson | Licensed Practical Nurse | Lpsdo 5905 O St, Lincoln, NE 68510 | 2018-02-06 |
1427566413 | Tracy Russell | Counselor | 245 S 84th Street, Suite 212, Lincoln, NE 68510 | 2018-01-12 |
1447778964 | Erin Elizabeth Cristello | Speech-Language Pathologist | 300 S 48th Street, Lincoln, NE 68510 | 2017-09-05 |
Find all providers in zip 68510 |
Taxonomy Code | 310400000X |
Grouping | Nursing & Custodial Care Facilities |
Classification | Assisted Living Facility |
A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. |
Notes: [7/1/2003: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1568929263 | Pemberly Place Management, LLC | Assisted Living Facility | 7655 Archer Pl, Lincoln, NE 68516-5286 | 2019-02-28 |
1922571462 | Lincoln Countryhouse II LLC | Assisted Living Facility | 6616 S 84th Street, Lincoln, NE 68516 | 2019-01-08 |
1255802468 | Fallbrook Assisted Living, LLC | Assisted Living Facility | 6600 Juliet Court, Lincoln, NE 68521 | 2018-12-16 |
1114267739 | David Kniola Crnp LLC | Assisted Living Facility | 825 Woods Ferry Rd, Lincoln, AL 35096-5874 | 2013-02-19 |
1205187069 | Lincoln Countryhouse LLC | Assisted Living Facility | 5720 S 25th St, Lincoln, NE 68512-2000 | 2012-09-19 |
1053695965 | Legacy Terrace II, Lp | Assisted Living Facility | 3777 N 58th St, Lincoln, NE 68507-1658 | 2011-10-11 |
1154601078 | Haven Manor Assisted Living Plus | Assisted Living Facility | 4800 S 48th St, College View North, Lincoln, NE 68516-1216 | 2011-08-23 |
1659663870 | Tabitha Inc | Assisted Living Facility | 4620 Randolph St, Lincoln, NE 68510-3739 | 2011-05-05 |
1275830937 | Lincoln Bickford Cottage | Assisted Living Facility | 4451 Old Cheney Rd, Lincoln, NE 68516-2821 | 2011-02-16 |
1124323126 | Havelock Manor. | Assisted Living Facility | 6330 Platte Ave, Lincoln, NE 68507-1349 | 2011-01-21 |
Find all providers in LINCOLN |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.