Eventide

NPI Registration Record

Provider / Organization	NPI	Date Certified
EVENTIDE	1720163298	2024-11-08

The organization Eventide is registered with the National Plan and Provider Enumeration System (NPPES) and has the assigned NPI of 1720163298. Registration indicates Eventide is a provider of services with a specialization in Agencies, Home Health (Home Health, ) (FQHC/Birthing Cntr/Health Dept/Home Health/RHC/Priv Duty Nurse, ) (Home Health, Agencies)

Other Names:

Tabitha Home Health Care

Entity Type	Organization

Provider Organization	EVENTIDE
Other Provider Organization	TABITHA HOME HEALTH CARE
Practice Office Address	4720 RANDOLPH STREET LINCOLN, NE US
Practice Office Telephone	4024837671
Practice Office Fax	4024868539
Mailing Address	801 MAIN AVE STE 201 MOORHEAD, MN 565602871 US
Authorized Official	DARIN OHE, CFO 2182912216

HPT Codes

Code	Practice	License No State
251E00000X PRIMARY	Agencies Home Health Home Health FQHC/Birthing Cntr/Health Dept/Home Health/RHC/Priv Duty Nurse Home Health Agencies	501017 NE

OPI Codes

0221-01	OTHER	NE	HHA (HMO NEBRAS
08982	OTHER	NE	DME/SUPPLIES (B
47037799801	MEDICAID	NE
60-00010	OTHER	NE	HHA (UHC/AARP)

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