TANAGER PLACE


Address: 2309 C St Sw, Cedar Rapids, IA 52404-3707
Phone: 3193659164

TANAGER PLACE (NPI# 1508992504) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1508992504
Entity Type Organization
Organization Name TANAGER PLACE
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 2007-02-26
Last Update Date 2020-08-22
Authorized Official Name MR. JEFF HUMISTON (C.F.O.)
Authorized Official Telephone 3193659165
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 251V00000X Voluntary or Charitable Agencies

Other Provider Identifier

State Issuer Identifier Type Code
IA 2103614 05

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1023147089 Tanager Place Community/Behavioral Health 2309 C St Sw, Cedar Rapids, IA 52404-3707 2007-03-05
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
1114083474 Tanager Place Psychiatric Residential Treatment Facility 2309 C St Sw, Cedar Rapids, IA 52404-3707 2006-12-29

Other Data Sources

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

Office Location

Street Address 2309 C ST SW
City CEDAR RAPIDS
State IA
Zip Code 52404-3707

Providers in the same location

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
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1003460312 Rem Iowa, Inc. Intermediate Care Facility, Mentally Retarded 143 16th Ave Sw, Cedar Rapids, IA 52404 2019-07-25
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1659859569 Wanda Marie Mokry-sellers Counselor 3601 16th Avenue Sw, Cedar Rapids, IA 52404 2018-08-02
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Taxonomy Information

Taxonomy Code 251V00000X
Grouping Agencies
Classification Voluntary or Charitable

Taxonomy Definition

Definition to come...

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1952597536 His Hands Free Clinic Voluntary or Charitable 1043 3rd Ave Se, Cedar Rapids, IA 52403-2409 2007-09-18
1700071057 Community Health Free Clinic Voluntary or Charitable 947 14th Ave Se, Cedar Rapids, IA 52401-2610 2007-09-10
1639209083 Witwer Center, Inc. Voluntary or Charitable 305 2nd Ave Se, Cedar Rapids, IA 52401-1215 2007-03-06
1770623746 Aging Services Voluntary or Charitable 800 1st St Nw, Cedar Rapids, IA 52405-2713 2007-02-07

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Competitor

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City CEDAR RAPIDS
Zip Code 52404

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Dataset Information

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.

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