Active NPI
Tabitha Home Health Care & Hospice LLC-a Collaboration With Immanuel
- Home Health Agency
- Omaha, NE
National Provider Identifier
1023778248
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- TABITHA HOME HEALTH CARE & HOSPICE LLC-A COLLABORATION WITH IMMANUEL
- Doing business as
- Tabitha Home Health Care - a collaboration with Immanuel
- Practice address
- 1044 N 115TH St Ste 500
Omaha, NE 68154-4410 - Phone
- (402) 819-4949
- Fax
- (531) 375-5076
- NPI assigned
- Dec 29, 2021
- Organization subpart
- Yes
- Parent organization
- TABITHA HOME HEALTH CARE & HOSPICE LLC-A COLLABORATION WITH IMMANUEL
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Thaddeus Edgerton
- Title
- Director, Finance
- Phone
- (402) 846-8538
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | Primary |
Addresses
Primary practice location
1044 N 115TH St Ste 500
Omaha, NE 68154-4410
Mailing address
4720 Randolph St
Lincoln, NE 68510-3741
Phone (402) 483-7671
Other names 1
- Tabitha Home Health Care - a collaboration with Immanuel
National Provider Directory
National Provider Directory- Tax ID family
- Tabitha Home Health Care Hospice LLC-a Collaboration With Immanuel
- Part of
- Tabitha Home Health Care Hospice LLC-a Collaboration With Immanuel
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Community Based Hospice Care Agency
- Omaha, NE
- NPI 1477213809
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1640736000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1640736000000",
"number": "1023778248",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4720 RANDOLPH ST",
"city": "LINCOLN",
"state": "NE",
"postal_code": "685103741",
"telephone_number": "402-483-7671",
"fax_number": "402-486-8539"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1044 N 115TH ST STE 500",
"city": "OMAHA",
"state": "NE",
"postal_code": "681544410",
"telephone_number": "402-819-4949",
"fax_number": "531-375-5076"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TABITHA HOME HEALTH CARE & HOSPICE LLC-A COLLABORATION WITH IMMANUEL",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "TABITHA HOME HEALTH CARE & HOSPICE LLC-A COLLABORATION WITH IMMANUEL",
"enumeration_date": "2021-12-29",
"last_updated": "2021-12-29",
"certification_date": "2021-12-27",
"status": "A",
"authorized_official_last_name": "EDGERTON",
"authorized_official_first_name": "THADDEUS",
"authorized_official_title_or_position": "DIRECTOR, FINANCE",
"authorized_official_telephone_number": "402-846-8538"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Tabitha Home Health Care - a collaboration with Immanuel",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Omaha, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.