Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Tabitha Grand Island, Inc

Organization Assisted Living Facility · NPI 1760125199

Tabitha Grand Island, Inc is an Assisted Living Facility in Grand Island, Nebraska. Registered with an NPI since 2022.

In the registry since
2022
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

3490 Ewoldt St
Grand Island, NE 68803-3134
Phone: (308) 833-6112
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Assisted Living Facility (primary) Taxonomy 310400000X

Record details

NPI number1760125199
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationTabitha Grand Island, Inc
Authorized official Renae Endicott — Assistant Director Of Finance · (402) 484-9711
Other names Tabitha At Prairie Commons Assisted Living And Memory Care; Tabitha At Prairie Commons Assisted Living And Memory Care
NPI enumeratedApril 14, 2022
Last updated in NPPESDecember 12, 2024
Certification dateDecember 12, 2024
Mailing address4720 Randolph St, Lincoln, NE 68510-3741

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