TABITHA, INC. (NPI# 1275618753) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275618753 |
| Entity Type | Organization |
| Organization Name | TABITHA, INC. |
| Other Organization Name | TABITHA HOSPICE |
| Practice Address |
4720 Randolph Street Lincoln NE 68510-3741 |
| Practice Telephone | 4024202273 |
| Mailing Telephone | 4024837671 |
| Mailing Fax Number | 4024868539 |
| Enumeration Date | 2006-10-25 |
| Last Update Date | 2013-10-08 |
| Authorized Official Name | MRS. DARCIE L BRINK (SR VICE PRESIDENT / CFO) |
| Authorized Official Telephone | 4024837671 |
| Is Organization Subpart | Y |
| Parent Organization Name | TABITHA, INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 251G00000X | Hospice Care, Community Based | HOSPICE 15 | NE | Agencies |
| Y | 251G00000X | Hospice Care, Community Based | HOSPICE15 | NE | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NE | DME/SUPPLIES (BCBS OF NE) | 08982 | 01 |
| NE | 10025149200 | 05 | |
| NE | HOSPICE (BCBS OF NE) | 00391 | 01 |
| Other Name | Type Code |
|---|---|
| Tabitha Hospice | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679630792 | Tabitha, Inc. | Nursing Facility/Intermediate Care Facility | 1540 Grove Avenue, Crete, NE 68333-1749 | 2007-01-02 |
| 1285631820 | Tabitha, Inc. | Clinic/Center | 4525 F St, Suite 500, Lincoln, NE 68510-3756 | 2005-06-28 |
| 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 |
| 1801971387 | Tabitha, Inc. | Nurse Practitioner | 4720 Randolph Street, Lincoln, NE 68510-3741 | 2006-10-25 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | TABITHA, INC | 3355 Orwell St, Lincoln, NE 68516-5242 |
| 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 |
| 1518288414 | Tabitha Inc | Assisted Living Facility | 4720 Randolph Street, Lincoln, NE 68510-3741 | 2010-06-15 |
| 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 |
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| 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 | 251G00000X |
| Grouping | Agencies |
| Classification | Hospice Care, Community Based |
| Definition to come... |
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|---|---|---|---|---|
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| 1942591946 | Hospice Community Care of Nebraska, LLC | Hospice Care, Community Based | 5550 S 59th St Ste 12, Lincoln, NE 68516-2398 | 2011-04-25 |
| 1649578337 | Safe Haven Hospice, LLC | Hospice Care, Community Based | 628 Broadway St, Lincoln, IL 62656-2777 | 2011-03-04 |
| 1538101852 | Hospice Preferred Choice, Inc. | Hospice Care, Community Based | 5715 S 34th St, Suite 100, Lincoln, NE 68516-6648 | 2006-06-12 |
| 1447225255 | Horisun Hospice Inc. | Hospice Care, Community Based | 2200 S 40th St Ste 101, Lincoln, NE 68506 | 2006-02-23 |
| 1235475351 | Chi National Home Care | Hospice Care, Community Based | 245 S 84th St, Suite 300, Lincoln, NE 68510-2680 | 2012-12-18 |
| 1700028909 | Lincoln Park Manor Inc. | Hospice Care, Community Based | 922 N 5th St, Lincoln, KS 67455-1602 | 2009-04-02 |
| 1104904952 | Mid America Health Centers Inc | Hospice Care, Community Based | 922 N 5th St., Lincoln, KS 67455-0466 | 2006-11-01 |
| 1497775183 | Saint Elizabeth Regional Medical Center | Hospice Care, Community Based | 245 S 84th St, Suite 111, Lincoln, NE 68510-2680 | 2006-07-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245719228 | Methodist Fremont Health | Hospice Care, Community Based | 2400 N Lincoln Ave Ste B, Fremont, NE 68025-2443 | 2018-08-09 |
| 1225433931 | Serenecare Inc | Hospice Care, Community Based | 4905 S 107th Ave Ste 205, Omaha, NE 68127-1965 | 2014-10-24 |
| 1811244213 | Fremont Health | Hospice Care, Community Based | 450 E 23rd Street, Fremont, NE 68025-2303 | 2012-08-06 |
| 1033481197 | Great Plains Hospice/north Platte Care Center | Hospice Care, Community Based | 600 E Francis St Ste 8&9, North Platte, NE 69101-6796 | 2012-02-06 |
| 1528341880 | The Mary Lanning Memorial Hospital Association | Hospice Care, Community Based | 926 East E Street, Good Samaritan Society - Hastings Village, Hastings, NE 68901-2149 | 2011-09-23 |
| 1982987244 | The Mary Lanning Memorial Hospital A | Hospice Care, Community Based | 400 East 7th Street, Harvard Rest Haven, Harvard, NE 68944-0546 | 2011-09-23 |
| 1346523602 | The Mary Lanning Memorial Hospital A | Hospice Care, Community Based | 636 North Locust Street, Heritage of Red Cloud, Red Cloud, NE 68970-2463 | 2011-09-23 |
| 1710269741 | The Mary Lanning Memorial Hospital A | Hospice Care, Community Based | 100 West Elm, Haven Home of Kenesaw, Kenesaw, NE 68956-0010 | 2011-09-15 |
| 1790067742 | The Mary Lanning Memorial Hospital A | Hospice Care, Community Based | 106 5th Street, Rosebrook Care Center, Edgar, NE 68935-3156 | 2011-09-15 |
| 1851673800 | The Mary Lanning Memorial Hospital A | Hospice Care, Community Based | 148 Broad Street, Grandview Manor, Campbell, NE 68932-2610 | 2011-09-15 |
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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.