TANAGER PLACE (NPI# 1114083474) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114083474 |
| Entity Type | Organization |
| Organization Name | TANAGER PLACE |
| Other Organization Name | TANAGER PLACE PMIC |
| Practice Address |
2309 C St Sw Cedar Rapids IA 52404-3707 |
| Practice Telephone | 3193659164 |
| Practice Fax Number | 3193656411 |
| Mailing Telephone | 3193659164 |
| Mailing Fax Number | 3193656411 |
| Enumeration Date | 2006-12-29 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. JEFF HUMISTON (C.F.O.) |
| Authorized Official Telephone | 3193659164 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 323P00000X | Psychiatric Residential Treatment Facility | 57PM-0005 | IA | Residential Treatment Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IA | 0047639 | 05 |
| Other Name | Type Code |
|---|---|
| Tanager Place PMIC | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023147089 | Tanager Place | Community/Behavioral Health | 2309 C St Sw, Cedar Rapids, IA 52404-3707 | 2007-03-05 |
| 1508992504 | Tanager Place | Voluntary or Charitable | 2309 C St Sw, Cedar Rapids, IA 52404-3707 | 2007-02-26 |
| 1053467423 | Tanager Place | Community/Behavioral Health | 2309 C St Sw, Cedar Rapids, IA 52404-3707 | 2007-01-26 |
| 1699832477 | Tanager Place | Intermediate Care Facility, Mentally Retarded | 2309 C St Sw, Cedar Rapids, IA 52404-3707 | 2007-01-02 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Iowa Business Entities | TANAGER PLACE | 2309 C St Sw, Cedar Rapids, IA 52404 |
| Iowa Business Entities | TANAGER PLACE ENDOWMENT FOUNDATION | 2309 C St Sw, Cedar Rapids, IA 52404 |
| Street Address |
2309 C ST SW |
| City | CEDAR RAPIDS |
| State | IA |
| Zip Code | 52404-3707 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730173766 | Frank L Babcock | Psychiatry & Neurology | 2309 C St Sw, #330, Cedar Rapids, IA 52404-3707 | 2005-09-06 |
| 1528554128 | Abrielle Hollinrake | Social Worker | 2309 C St Sw, Cedar Rapids, IA 52404-3707 | 2018-07-06 |
| 1538557426 | Angela Toop | Social Worker | 2309 C St Sw, Cedar Rapids, IA 52404-3707 | 2014-12-31 |
| 1699170639 | Cassandra Kehoe | Social Worker | 2309 C St Sw, Cedar Rapids, IA 52404-3707 | 2014-11-04 |
| 1184046559 | Stephanie Eslick | Social Worker | 2309 C St Sw, Cedar Rapids, IA 52404-3707 | 2014-01-20 |
| 1477975969 | Amber Bennett | Social Worker | 2309 C St Sw, Cedar Rapids, IA 52404-3707 | 2014-01-17 |
| 1124453345 | Amber Jp Cook | Social Worker | 2309 C St Sw, Cedar Rapids, IA 52404-3707 | 2013-09-06 |
| 1184066169 | Abigail L Seyfer | Social Worker | 2309 C St Sw, Cedar Rapids, IA 52404-3707 | 2013-07-19 |
| 1265878326 | Candice A Maier | Social Worker | 2309 C St Sw, Cedar Rapids, IA 52404-3707 | 2013-05-16 |
| 1336490705 | Tonya Lynn Hotchkin | Marriage & Family Therapist | 2309 C St Sw, Cedar Rapids, IA 52404 | 2012-09-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285233064 | Physiotherapy Associates, Inc. | Clinic/Center | 998 Westdale Parkway, Cedar Rapids, IA 52404 | 2020-10-22 |
| 1528617313 | Humble Language Institute | Interpreter | 3513 Royal Dr. Sw, Cedar Rapids, IA 52404 | 2019-09-05 |
| 1073169074 | Jackie Lugene Mcfetridge | Technician | 3528 Falcon View Rd Sw, Cedar Rapids, IA 52404 | 2019-08-15 |
| 1003460312 | Rem Iowa, Inc. | Intermediate Care Facility, Mentally Retarded | 143 16th Ave Sw, Cedar Rapids, IA 52404 | 2019-07-25 |
| 1811541121 | Rem Iowa, Inc. | Intermediate Care Facility, Mentally Retarded | 2620 33rd Ave Sw, Cedar Rapids, IA 52404 | 2019-07-25 |
| 1659859569 | Wanda Marie Mokry-sellers | Counselor | 3601 16th Avenue Sw, Cedar Rapids, IA 52404 | 2018-08-02 |
| 1790231371 | Freddie Lederle | Taxi | 3260 Southgate Place, Cedar Rapids, IA 52404 | 2016-09-01 |
| 1619422748 | Mercy Physician Associates, Inc | Family Medicine | 777 76th Ave Dr Sw, Cedar Rapids, IA 52404 | 2016-08-18 |
| 1740638626 | Lasharon Leah Taylor | Counselor | 3330 Southgate Ct Sw, Cedar Rapids, IA 52404 | 2016-06-01 |
| 1689094112 | Pathway Counseling Center | Clinic/Center | 1073 Rockford Rd Se, Suite E, Cedar Rapids, IA 52404 | 2014-04-23 |
| Find all providers in zip 52404 | ||||
| Taxonomy Code | 323P00000X |
| Grouping | Residential Treatment Facilities |
| Classification | Psychiatric Residential Treatment Facility |
| A residential treatment facility (RTF) is a facility or distinct part of a facility that provides to children and adolescents, a total, twenty-four hour, therapeutically planned group living and learning situation where distinct and individualized psychotherapeutic interventions can take place. Residential treatment is a specific level of care to be differentiated from acute, intermediate, and long-term hospital care, when the least restrictive environment is maintained to allow for normalization of the patient’s surroundings. The RTF must be both physically and programmatically distinct if it is a part or subunit of a larger treatment program. An RTF is organized and professionally staffed to provide residential treatment of mental disorders to children and adolescents who have sufficient intellectual potential to respond to active treatment (that is, for whom it can reasonably be assumed that treatment of the mental disorder will result in an improved ability to function outside the RTF) for whom outpatient treatment, partial hospitalization or protected and structured environment is medically or psychologically necessary |
| Notes: Source: Champus Policy manual, Volume II, p. 6010.47M dated 9/12/94. Revision: Definition title revised 7/1/03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205393071 | Four Oaks Family and Children's Services | Psychiatric Residential Treatment Facility | 5400 Kirkwood Blvd Sw, North Oaks Program, Cedar Rapids, IA 52404-5298 | 2019-02-27 |
| 1194282962 | Four Oaks Family and Children's Services | Psychiatric Residential Treatment Facility | 5400 Kirkwood Blvd Sw, Mcintyre Program, Cedar Rapids, IA 52404-5298 | 2019-02-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568929339 | Four Oaks Family and Children's Services | Psychiatric Residential Treatment Facility | 930 South Iowa Ave, Mason City, IA 50402 | 2019-02-27 |
| 1851858617 | Four Oaks Family and Children's Services | Psychiatric Residential Treatment Facility | 80 North Eisenhower Ave, Mason City, IA 50401 | 2019-02-27 |
| 1780880310 | Hillcrest Family Services | Psychiatric Residential Treatment Facility | 2445 Hillcrest Rd, Dubuque, IA 52001 | 2007-06-21 |
| 1134265291 | Christian Home Association-children's Square U.S.A. | Psychiatric Residential Treatment Facility | North 6th & Ave E, Council Bluffs, IA 51502-3008 | 2007-01-29 |
| 1871665372 | Alegent Health Bergan Mercy Health System | Psychiatric Residential Treatment Facility | 359 Indian Hills Dr, Glenwood, IA 51534-1953 | 2006-11-14 |
| 1245309749 | Vera French Sheridan Springs | Psychiatric Residential Treatment Facility | 5006 Sheridan St., Davenport, IA 52806-4167 | 2006-11-07 |
| 1245220938 | Orchard Place | Psychiatric Residential Treatment Facility | 925 Sw Porter Ave, Des Moines, IA 50315-7235 | 2005-10-25 |
| 1992262760 | Four Oaks Family and Children's Services | Psychiatric Residential Treatment Facility | 80 North Eisenhower Ave, Mason City, IA 50401 | 2019-02-27 |
| 1902119118 | Orchard Place | Psychiatric Residential Treatment Facility | 808 5th Ave, Des Moines, IA 50309-1307 | 2010-07-16 |
| 1558536524 | Healing Place, L.L.C. | Psychiatric Residential Treatment Facility | 215 6th Ave S, Ste 25, Clinton, IA 52732-4338 | 2008-04-29 |
| Find all providers with the same taxonomy | ||||
| City | CEDAR RAPIDS |
| Zip Code | 52404 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.