Organization
TABITHA, INC.
Active
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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