# TABITHA, INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Tabitha In Crete
- **Organization subpart:** No

## Provider details

- **NPI number:** 1679630792
- **Authorized official:** RENAE ENDICOTT (ASSISTANT DIRECTOR OF FINANCE)
- **Authorized official phone:** (402) 484-9711

## Contact information

- **Practice address:** 1800 E 13TH ST, CRETE, NE 68333-1912
- **Practice address phone:** (402) 826-6889
- **Practice address fax:** (402) 486-8539
- **Mailing address:** 4720 RANDOLPH ST, LINCOLN, NE 68510-3741

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 313M00000X | Nursing Facility/Intermediate Care Facility | NH0003 | NE | — |
| 314000000X | Skilled Nursing Facility | — | — | Yes |

## Other

- **Enumeration date:** 01/02/2007
- **Last updated:** 12/12/2024

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 10025440100 | — | NE |