Tanager Place

Primary specialty

Voluntary or Charitable AgencyTaxonomy code 251V00000X

Legal business name

TANAGER PLACE

Practice address

2309 C St SW
Cedar Rapids, IA 52404-3707

Phone

(319) 365-9164

Fax

(319) 365-6411

NPI assigned

Feb 26, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Jeff Humiston

Title

C.F.O.

Phone

(319) 365-9165

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Tanager Place4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

• Tanager Place

  • Community/Behavioral Health Agency
  • Cedar Rapids, IA
  • NPI 1023147089
  NPD tax ID
• Tanager Place

  dba Tanager Place PMIC

  • Psychiatric Residential Treatment Facility
  • Cedar Rapids, IA
  • NPI 1114083474
  NPD tax ID
• Tanager Place

  dba Tanager Place ICFMR

  • Intellectual Disabilities Intermediate Care Facility
  • Cedar Rapids, IA
  • NPI 1699832477
  NPD tax ID

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1172448000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1508992504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2309 C ST SW",
            "city": "CEDAR RAPIDS",
            "state": "IA",
            "postal_code": "524043707",
            "telephone_number": "319-365-9164",
            "fax_number": "319-365-6411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2309 C ST SW",
            "city": "CEDAR RAPIDS",
            "state": "IA",
            "postal_code": "524043707",
            "telephone_number": "319-365-9164",
            "fax_number": "319-365-6411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TANAGER PLACE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HUMISTON",
        "authorized_official_first_name": "JEFF",
        "authorized_official_title_or_position": "C.F.O.",
        "authorized_official_telephone_number": "319-365-9165",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251V00000X",
            "taxonomy_group": "",
            "desc": "Voluntary or Charitable",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2103614",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tallgrass ABA Therapy LLC
• Benjamin Ashley Tallman, PHD
• Tanager Place
• Tanager Place
• Tanager Place (Tanager Place PMIC)
• Tanager Place (Tanager Place ICFMR)
• Michele Tangeman
• Kevin Scott Tanner, D.P.M.
• Natalie Arlene Tarkett, PHARM.D.
• Joan Tatarka, LISW

• Voluntary or Charitable Agency in Cedar Rapids, IA
• Providers in Cedar Rapids, IA by specialty
• Voluntary or Charitable Agency in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.