Tabitha Inc

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

TABITHA INC

Doing business as

Tabitha at Williamsburg

Practice address

3355 Orwell St
Lincoln, NE 68516-6624

Phone

(402) 484-9955

NPI assigned

Apr 21, 2015

Organization subpart

Yes

Parent organization

TABITHA INCAs reported in NPPES

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Darcie L Brink, MHA

Title

Cfo & Senior VP

Phone

(402) 483-7671

Specialties & licenses 1

Addresses

Other names 1

• Tabitha at Williamsburg Doing business as

Part of

Tabitha Inc

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1429574400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1443484800000",
    "number": "1437546033",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3355 ORWELL ST",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685166624",
            "telephone_number": "402-484-9955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3355 ORWELL ST",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685166624",
            "telephone_number": "402-484-9955"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TABITHA INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "TABITHA INC",
        "enumeration_date": "2015-04-21",
        "last_updated": "2015-09-29",
        "status": "A",
        "authorized_official_last_name": "BRINK",
        "authorized_official_first_name": "DARCIE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "CFO & SENIOR VP",
        "authorized_official_telephone_number": "402-483-7671",
        "authorized_official_credential": "MHA"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Tabitha at Williamsburg",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Skilled Nursing Facility in Lincoln, NE
• Providers in Lincoln, NE by specialty
• Skilled Nursing Facility in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2015; 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.