TANAGER PLACE (NPI# 1699832477) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699832477 |
| Entity Type | Organization |
| Organization Name | TANAGER PLACE |
| Other Organization Name | TANAGER PLACE ICFMR |
| 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 | 2007-01-02 |
| 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 | 315P00000X | Intermediate Care Facility, Mentally Retarded | 570936 | IA | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IA | 0881755 | 05 |
| Other Name | Type Code |
|---|---|
| Tanager Place ICFMR | 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 |
| 1114083474 | Tanager Place | Psychiatric Residential Treatment Facility | 2309 C St Sw, Cedar Rapids, IA 52404-3707 | 2006-12-29 |
| 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 |
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| 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 | 315P00000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Intermediate Care Facility, Mentally Retarded |
| (1) A public institution for care of the mentally retarded or people with related conditions. (2) An institution giving active treatment to mentally retarded or developmentally disabled persons or persons with related conditions. The primary purpose of the institution is to provide health or rehabilitative services to such individuals. |
| Notes: Sources: (1) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, IL: 1994, p. 403 (2) Paraphrased from Code of Federal Regulations #42, Public Health, Section 440.150(c). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 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 |
| 1114089539 | Rem Iowa, Inc | Intermediate Care Facility, Mentally Retarded | 29 36th Ave Sw, Cedar Rapids, IA 52404-4641 | 2006-12-14 |
| 1649332073 | Rem Iowa, Inc | Intermediate Care Facility, Mentally Retarded | 3944 Crestwood Dr Nw, Cedar Rapids, IA 52405-1959 | 2006-12-14 |
| 1821150210 | Rem Iowa, Inc | Intermediate Care Facility, Mentally Retarded | 2901 Mansfield Ave Se, Cedar Rapids, IA 52403-3040 | 2006-12-14 |
| 1891267043 | Rem Iowa, Inc | Intermediate Care Facility, Mentally Retarded | 1220 5th Ave Se, Cedar Rapids, IA 52403-4049 | 2018-12-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912528266 | One Vision | Intermediate Care Facility, Mentally Retarded | 755 Pebblestone Lane, Garner, IA 50428 | 2020-04-28 |
| 1912544123 | Handicap Village | Intermediate Care Facility, Mentally Retarded | 1140 Limestone St, Mason City, IA 50401 | 2019-12-06 |
| 1952767162 | G & G Living Centers, Inc. | Intermediate Care Facility, Mentally Retarded | 602 Kosciusko St., Guttenberg, IA 52052-0967 | 2016-01-05 |
| 1487920351 | Mosaic | Intermediate Care Facility, Mentally Retarded | 835 S 7th St, Forest City, IA 50436-2127 | 2012-03-26 |
| 1306112271 | Mosaic | Intermediate Care Facility, Mentally Retarded | 102 Kellys Ct, Forest City, IA 50436-2245 | 2012-03-26 |
| 1710253687 | Mosaic | Intermediate Care Facility, Mentally Retarded | 105 Kellys Ct, Forest City, IA 50436-2245 | 2012-03-26 |
| 1831465715 | Mosaic | Intermediate Care Facility, Mentally Retarded | 315 Country Club Dr, Belmond, IA 50421-1740 | 2012-03-26 |
| 1851666820 | Mosaic | Intermediate Care Facility, Mentally Retarded | 718 S 13th St, Nevada, IA 50201-2435 | 2012-03-09 |
| 1790983021 | Childserve Homes Inc. | Intermediate Care Facility, Mentally Retarded | 5555 Nw 55th Ave, Johnston, IA 50131-1367 | 2007-07-09 |
| 1215061197 | Hope Haven Area Development Center Corporation | Intermediate Care Facility, Mentally Retarded | 1901 Racine Ave, Burlington, IA 52601-2246 | 2007-03-15 |
| 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.