TABITHA INC


Address: 4720 Randolph Street, Lincoln, NE 68510-3741
Phone: 4024837671

TABITHA INC (NPI# 1518288414) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 310400000X Assisted Living Facility ALF063 NE Nursing & Custodial Care Facilities

Other Provider Identifier

State Issuer Identifier Type Code
NE 10025201000 05
NE 100252010-00 05

Other Provider/Organization Names

Other Name Type Code
Tabitha in Crete: The Gardens Doing Business As Name - Organization

Other Provider IDs and Locations

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

Office Location

Street Address 4720 RANDOLPH STREET
City LINCOLN
State NE
Zip Code 68510-3741

Providers in the same location

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

Providers in the same zip code

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 Information

Taxonomy Code 310400000X
Grouping Nursing & Custodial Care Facilities
Classification Assisted Living Facility

Taxonomy Definition

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]

Providers in the same taxonomy and city

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

Competitor

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City LINCOLN
Zip Code 68510

Improve Information

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Dataset Information

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.

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