Organization Active NPI

Tabitha Home Health Care & Hospice LLC-a Collaboration With Immanuel

  • Home Health Agency
  • Omaha, NE
National Provider Identifier
1023778248
Registry record updated Dec 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
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 IMMANUELAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 29, 2021

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)CodeLicenseStatePrimary
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 Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Tabitha Home Health Care Hospice LLC-a Collaboration With Immanuel2 organizations share this tax ID, including this one
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.

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.

Verify at the official NPI Registry.