OrganizationActive
Tabitha Grand Island, Inc
NPI 1760125199 · Assisted Living Facility · Grand Island, NE
Provider details
- NPI number
- 1760125199
- Entity type
- Organization
- Primary specialty
- Assisted Living FacilityNursing & Custodial Care Facilities
- Parent organization
- Tabitha Grand Island, Inc
- Organization subpart
- Yes
- Authorized official
- Renae Endicott, Assistant Director of Finance(402) 484-9711
Specialties & taxonomies
Nursing & Custodial Care Facilities
Profile Score
Established profile(60/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
3490 Ewoldt St
Grand Island, NE 68803-3134
Phone: (308) 833-6112
Street-level locationGet directions
Mailing address
4720 Randolph St
Lincoln, NE 68510-3741
Other names (DBA / former)
- Doing business as
- Tabitha at Prairie Commons Assisted Living and Memory Care
- Doing business as
- Tabitha at Prairie Commons Assisted Living and Memory Care
Registry dates
- Enumerated
- 2022-04-14
- Last updated
- 2024-12-12
- Certified
- 2024-12-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.