Organization
TABITHA, INC.
Active
Other names
Tabitha Nursing and Rehab Center
Organization subpart
No
Provider details
NPI number
Authorized official
RENAE ENDICOTT (ASSISTANT DIRECTOR OF FINANCE)
(402) 484-9711
Entity
Organization
Contact information
Practice address
4720 RANDOLPH STREET, LINCOLN, NE 68510-3741
(402) 483-7671
(402) 486-8539
Mailing address
4720 RANDOLPH ST, LINCOLN, NE 68510-3741
(402) 486-8539
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
504009
NE
314000000X
Skilled Nursing Facility
Primary
504009
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00525
SNF (BCBS OF NE)
NE
01
—
08982
DME/SUPPLIES (BCBS OF NE)
NE
Enumeration date
11/02/2006
Last updated
12/12/2024
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