NPIMap

Organization Active NPI

Tabitha Inc

Doing business as Tabitha Care

  • Case Manager/Care Coordinator
  • Holdrege, NE
National Provider Identifier
1740525450
Registry record updated Aug 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Manager/Care CoordinatorTaxonomy code 171M00000X
Legal business name
TABITHA INC
Doing business as
Tabitha Care
Practice address
507 West Ave
Holdrege, NE 68949-2226
Phone
(308) 217-4208
NPI assigned
Dec 6, 2012
Last updated
Aug 16, 2021By the provider in NPPES
Organization subpart
Yes
Parent organization
TABITHA INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 16, 2021

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

Authorized official

Name
Christina R Hinrichs
Title
Ceo/President
Phone
(402) 486-8520

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X
Case Manager/Care Coordinator 171M00000X Primary

Addresses

Primary practice location

507 West Ave
Holdrege, NE 68949-2226

Mailing address

4720 Randolph St
Lincoln, NE 68510-3741
Phone (402) 486-8538

Other names 1

  • TABITHA CARE Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050201000661 NE Part B Supplier - Clinic/Group Practice 3274421284 Receives reassigned benefits from 1 practitioner
7 other NPIs on this enrollment
Practice locations: Franklin, NE; Holdrege, NE

Other NPIs with the same Medicare PAC ID 5

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 7

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Tabitha Health Care Ser10 organizations share this tax ID, including this one
Part of
Tabitha Health Care Ser

Other organizations with this tax ID 9

Organizations that report the same tax identification number in the National Provider Directory.

Locations

2842 Old Fair Rd
Grand Island, NE 68803
Phone (308) 389-6002

3721 W 13th St
Ste D
Grand Island, NE 68803
Phone (402) 484-9416

904 Concord Ave
Grand Island, NE 68803
Phone (308) 389-6002

819 Central Ave
Nebraska City, NE 68410
Phone (402) 873-7047

546 Avenue A
Ste 1
Plattsmouth, NE 68048
Phone (402) 296-2276

205 S Lincoln Ave
Ste 101
York, NE 68467
Phone (402) 362-7739

Ownership & related parties

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Eventide Prairie Commons Care CenterGrand Island, NE, CCN 285307 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Dec 22, 2022
Tabitha Hospice-a Collaboration With ImmanuelOmaha, NE, CCN 281556 Hospice 5% Or Greater Direct Ownership Interest (75%) Dec 13, 2021

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1354752000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1629072000000",
    "number": "1740525450",
    "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": "402-486-8538",
            "fax_number": "402-486-8539"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "507 WEST AVE",
            "city": "HOLDREGE",
            "state": "NE",
            "postal_code": "689492226",
            "telephone_number": "308-217-4208"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TABITHA INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "TABITHA INC",
        "enumeration_date": "2012-12-06",
        "last_updated": "2021-08-16",
        "certification_date": "2021-08-16",
        "status": "A",
        "authorized_official_last_name": "HINRICHS",
        "authorized_official_first_name": "CHRISTINA",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "CEO/PRESIDENT",
        "authorized_official_telephone_number": "402-486-8520"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "TABITHA CARE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Holdrege, NE

Sources for this page

Verify at the official NPI Registry.