Organization · Type 2 NPI

Tabitha Grand Island, Inc

Assisted Living Facility · Grand Island, NE

NPI number 1760125199 Active

Practice location

3490 Ewoldt St
Grand Island, NE 68803-3134

Call (308) 833-6112 Map

Mailing address

4720 Randolph St
Lincoln, NE 68510-3741

Specialties and licenses

Taxonomy	Code	License
Assisted Living Facility Primary	310400000X	None listed

Assisted Living Facility: A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.

Another provider at this address

Tabitha Grand Island, IncSkilled Nursing Facility Grand Island, NE NPI 1568105989

Other assisted living facility providers in Grand Island

See all in Grand Island →

NPI record

NPI: 1760125199
Entity type: Organization (Type 2)
Issued: Apr 14, 2022
Last updated: Dec 12, 2024
Status: Active
Subpart: Yes of Tabitha Grand Island, Inc

Other names

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Tabitha at Prairie Commons Assisted Living and Memory Care · doing business as
Tabitha at Prairie Commons Assisted Living and Memory Care · doing business as

Authorized official

Renae Endicott
Assistant Director of Finance
(402) 484-9711

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1760125199

Tabitha Grand Island, Inc's National Provider Identifier is 1760125199, issued on Apr 14, 2022. The primary taxonomy on file is Assisted Living Facility (310400000X), and the practice location is in Grand Island, NE. The record was last updated on Dec 12, 2024.