TABITHA GRAND ISLAND INC NPI 1760125199

NPI Information

  • NPI: 1760125199
  • Provider Name: TABITHA GRAND ISLAND, INC
  • Classification: Assisted Living Facility - 310400000X
  • Entity Type: Organization
  • Doing Business As: TABITHA AT PRAIRIE COMMONS ASSISTED LIVING AND MEMORY CARE
  • Address: 3490 EWOLDT ST
    GRAND ISLAND, NE
    ZIP 68803
  • Phone: (308) 833-6112

Map and Directions

Get Directions

NPI Details

TABITHA GRAND ISLAND, INC is an assisted living facility in Grand Island, 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 GRAND ISLAND, INC NPI is 1760125199. The provider is registered as an organization entity type.
The provider Is Doing Business As Tabitha At Prairie Commons Assisted Living And Memory Care.

The provider's business location address is:

3490 EWOLDT ST
GRAND ISLAND, NE
ZIP 68803-134
Phone: (308) 833-6112

The provider's authorized official is Renae Endicott .
The authorized official title is Assistant Director Of Finance and has the following contact phone number (402) 484-9711.

The enumeration date for this NPI number is 4/14/2022 and was last updated on 12/12/2024.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1310400000XAssisted Living FacilityYes

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: 3/30/2025

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

Previous NPI
Next NPI