TABITHA NURSING AND REHAB CENTER
NPI 1225117385
Skilled Nursing Facility in Lincoln, NE

Active since November 02, 2006CLIA 28D0687144 · Waiver
4720 RANDOLPH STREET, LINCOLN, NE 68510(402) 483-7671(402) 486-8539 Get Directions Write a Review

NPPES record last updated: December 12, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Dec 12, 2024, Nov 20, 2024, Nov 7, 2024 and 1 more (4 updates tracked since 2024).

About Tabitha Nursing And Rehab Center NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TABITHA NURSING AND REHAB CENTER (NPI 1225117385) is a healthcare organization registered as a skilled nursing facility in Lincoln, Nebraska and active in the NPI registry since November 2006. The organization holds a CLIA Waiver certificate valid through August 31, 2028 and lists Renae Endicott, Assistant Director Of Finance, as its authorized official.

NPPES Registry Identity

NPI1225117385
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameTABITHA, INC.
Location Address4720 RANDOLPH STREETLincoln, NE 68510-3741
Mailing Address4720 Randolph StLincoln, NE 68510-3741 · Fax (402) 486-8539
Fax(402) 486-8539
Organization SubpartNo
Authorized OfficialRenae EndicottAssistant Director Of Finance · (402) 484-9711
Enumeration DateNovember 2, 2006
Last NPPES UpdateDecember 12, 20244 updates tracked since enumeration
NPPES CertifiedDecember 12, 2024
✔ NPI 1225117385 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySkilled Nursing FacilityNursing & Custodial Care Facilities
Taxonomy Code314000000X
License✔ Licensed in NE · 504009
Definition
(1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis.
Also ListedNursing Facility/Intermediate Care FacilityTaxonomy 313M00000X · License 504009 (NE)
4720 RANDOLPH STREET, Lincoln, NE 68510

Other Names 1

Doing Business AsTabitha Nursing And Rehab Center

Other Identifiers 2

Other08982NE · Dme/supplies (bcbs Of Ne)
Other00525NE · Snf (bcbs Of Ne)

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Tabitha Nursing And Rehab Center is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Tabitha Nursing And Rehab Center, which bills Medicare for the services this clinician delivers.

Clinician (1)

Nurse Practitioner
NPI 1821505868
3900 PINE LAKE RD
Lincoln, NE 68516
(402) 213-7855
✔ PECOS4.6 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 28D0687144

Tabitha Health Care Services · Lincoln, NE
Active · expires Aug 31, 2028
CLIA Number28D0687144
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateSeptember 1, 2026
Certificate Expiration DateAugust 31, 2028
Laboratory DirectorMs. Angelia K. Cardwell
Laboratory Phone(402) 486-8537
Laboratory LocationTabitha Health Care Services4720 Randolph Street, Lincoln, NE 68510
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Tabitha, Inc.'s NPI number?

The NPI number for Tabitha, Inc. is 1225117385. It was assigned to this organization in the NPPES registry on November 2, 2006. The provider is doing business as Tabitha Nursing And Rehab Center.

Where is Tabitha, Inc. located?

Tabitha, Inc. is located at 4720 Randolph Street, Lincoln, NE 68510. The listed phone number is (402) 483-7671.

What is Tabitha, Inc.'s specialty?

The primary specialty registered for this NPI is Skilled Nursing Facility with taxonomy code 314000000X.

Is Tabitha, Inc. enrolled in Medicare?

Yes. Tabitha, Inc. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Tabitha, Inc.?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Tabitha, Inc.. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Tabitha, Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 28D0687144) is associated with this NPI, valid through August 31, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Tabitha, Inc. accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Sunflower Health Plan, Blue Cross and Blue Shield of Nebraska and Oscar Insurance Company and 1 other insurer list Tabitha, Inc. as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Tabitha, Inc. was last updated on December 12, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.