Organization
TABITHA, INC.
Active
Parent organization
TABITHA, INC.
Other names
Tabitha Adult Day Services
Organization subpart
Yes
Provider details
NPI number
Legal business name
TABITHA, INC.
Authorized official
MRS. DARCIE L BRINK (SR VICE PRESIDENT / CFO)
(402) 486-8538
Entity
Organization
Contact information
Practice address
4525 F ST, SUITE 500, LINCOLN, NE 68510-3756
(402) 484-9600
(402) 484-9601
Mailing address
4720 RANDOLPH ST, LINCOLN, NE 68510-3741
(402) 483-7671
(402) 486-8539
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
ADS200902
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
100250212-00
MEDICAID ADULT DAY CARE
—
01
—
18453968
MEDICAID WAIVERS
—
01
—
7482581
BLOCK GRANTS
—
01
—
96404686
TITLE 20 - CHILDREN
—
Enumeration date
06/28/2005
Last updated
10/08/2013
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