TABITHA, INC. (NPI# 1285631820) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285631820 |
| Entity Type | Organization |
| Organization Name | TABITHA, INC. |
| Other Organization Name | TABITHA ADULT DAY SERVICES |
| Practice Address |
4525 F St Suite 500 Lincoln NE 68510-3756 |
| Mailing Address |
4720 Randolph St Lincoln NE 68510-3741 |
| Practice Telephone | 4024849600 |
| Practice Fax Number | 4024849601 |
| Mailing Telephone | 4024837671 |
| Mailing Fax Number | 4024868539 |
| Enumeration Date | 2005-06-28 |
| Last Update Date | 2013-10-08 |
| Authorized Official Name | MRS. DARCIE L BRINK (SR VICE PRESIDENT / CFO) |
| Authorized Official Telephone | 4024868538 |
| Is Organization Subpart | Y |
| Parent Organization Name | TABITHA, INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QA0600X |
Clinic/Center Specialization: Adult Day Care |
ADS200902 | NE | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MEDICAID ADULT DAY CARE | 100250212-00 | 01 | |
| BLOCK GRANTS | 7482581 | 01 | |
| MEDICAID WAIVERS | 18453968 | 01 | |
| TITLE 20 - CHILDREN | 96404686 | 01 |
| Other Name | Type Code |
|---|---|
| Tabitha Adult Day Services | 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 |
| 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 |
| 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 |
4525 F ST SUITE 500 |
| City | LINCOLN |
| State | NE |
| Zip Code | 68510-3756 |
| 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 | 261QA0600X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Adult Day Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730697343 | Golden Roads Adult Day Center LLC | Clinic/Center | 85 Industrial Cir, Lincoln, RI 02865-2645 | 2018-01-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184288284 | Cclive, LLC | Clinic/Center | 1307 16th St, Central City, NE 68826-1809 | 2019-04-24 |
| 1932600038 | Shiloh Center Adult Day Services | Clinic/Center | 114 E Military Ave, Fremont, NE 68025-5066 | 2018-02-23 |
| 1487921052 | Sarahcare Adult Day Services | Clinic/Center | 3615 N 129th St, Omaha, NE 68164-5211 | 2011-11-25 |
| 1386752004 | Rainbow Center Inc | Clinic/Center | 3602 16th Street, Columbus, NE 68601-4164 | 2006-08-25 |
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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.