Provider Demographics
NPI:1720163298
Name:TABITHA, INC.
Entity Type:Organization
Organization Name:TABITHA, INC.
Other - Org Name:TABITHA HOME HEALTH CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CHIEF FINANCIAL OFFICER & SR. VP
Authorized Official - Prefix:MRS
Authorized Official - First Name:DARCIE
Authorized Official - Middle Name:L
Authorized Official - Last Name:BRINK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:402-486-8538
Mailing Address - Street 1:4720 RANDOLPH STREET
Mailing Address - Street 2:
Mailing Address - City:LINCOLN
Mailing Address - State:NE
Mailing Address - Zip Code:68510-3741
Mailing Address - Country:US
Mailing Address - Phone:402-483-7671
Mailing Address - Fax:402-486-8539
Practice Address - Street 1:4720 RANDOLPH STREET
Practice Address - Street 2:
Practice Address - City:LINCOLN
Practice Address - State:NE
Practice Address - Zip Code:68510-3741
Practice Address - Country:US
Practice Address - Phone:402-483-7671
Practice Address - Fax:402-486-8539
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-25
Last Update Date:2019-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE501017251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NE08982OtherDME/SUPPLIES (BCBS OF NE)
NE0221-01OtherHHA (HMO NEBRASKA)
NE60-00010OtherHHA (UHC/AARP)
NE=========17Medicaid
NE=========11Medicaid
NE=========12Medicaid
NE=========16Medicaid
NE=========01Medicaid
NE00365OtherHHA (BCBS OF NE)
NE0221-01OtherHHA (HMO NEBRASKA)
NE08982OtherDME/SUPPLIES (BCBS OF NE)
NE=========13Medicaid
NE=========10Medicaid