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TABITHA INC NPI 1518288414


NPI Information

NPI: 1518288414
Provider Name: TABITHA INC

Doing Business As: TABITHA IN CRETE: THE GARDENS

Classification: Assisted Living Facility - 310400000X
Entity Type: Organization
Address:
4720 RANDOLPH STREET
LINCOLN, NE
ZIP 68510
Phone: (402) 483-7671
Get Directions

TABITHA INC is an assisted living facility in Lincoln, NE. The provider is 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. TABITHA INC NPI is 1518288414. The provider is registered as an organization entity type.
The provider Is Doing Business As Tabitha In Crete: The Gardens.

The provider's business location address is:

4720 RANDOLPH STREET
LINCOLN, NE
ZIP 68510-741
Phone: (402) 483-7671
Fax: (402) 486-8539

The provider's authorized official is Darcie L Brink .
The authorized official title is Chief Financial Officer & Sr. Vp and has the following contact phone number (402) 486-8538.

The enumeration date for this NPI number is 6/15/2010 and was last updated on 8/26/2015.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1310400000XAssisted Living FacilityALF063NEBRASKAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1100252010-00MEDICAIDNEBRASKA
210025201000MEDICAIDNEBRASKA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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