TANAGER PLACE PMIC
NPI 1114083474
Psychiatric Residential Treatment Facility in Cedar Rapids, IA

Active since December 29, 2006
2309 C ST SW, CEDAR RAPIDS, IA 52404(319) 365-9164(319) 365-6411 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Tanager Place Pmic NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TANAGER PLACE PMIC (NPI 1114083474) is a healthcare organization registered as a psychiatric residential treatment facility in Cedar Rapids, Iowa and active in the NPI registry since December 2006. The organization lists Jeff Humiston, C.f.o., as its authorized official.

NPPES Registry Identity

NPI1114083474
Entity TypeOrganization
Primary Taxonomy323P00000X
Legal Business NameTANAGER PLACE
Location Address2309 C ST SWCedar Rapids, IA 52404-3707
Mailing Address2309 C St SwCedar Rapids, IA 52404-3707 · (319) 365-9164 · Fax (319) 365-6411
Fax(319) 365-6411
Organization SubpartNo
Authorized OfficialJeff HumistonC.f.o. · (319) 365-9164
Enumeration DateDecember 29, 2006
Last NPPES UpdateAugust 22, 2020
NPI 1114083474 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychiatric Residential Treatment FacilityResidential Treatment Facilities
Taxonomy Code323P00000X
License Licensed in IA · 57PM-0005
Definition

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

2309 C ST SW, Cedar Rapids, IA 52404

Other Names 1

Doing Business AsTanager Place Pmic

Other Identifiers 1

Medicaid0047639IA

Accepted Insurance

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Community/Behavioral Health
2309 C ST SW
CEDAR RAPIDS, IA 52404
Community/Behavioral Health
2309 C ST SW
CEDAR RAPIDS, IA 52404
Social Worker (Clinical)
2309 C ST SW
CEDAR RAPIDS, IA 52404
Social Worker (Clinical)
2309 C ST SW
CEDAR RAPIDS, IA 52404
Social Worker (Clinical)
2309 C ST SW
CEDAR RAPIDS, IA 52404
Social Worker (Clinical)
2309 C ST SW
CEDAR RAPIDS, IA 52404
Student in an Organized Health Care Education/Training Program
2309 C ST SW
CEDAR RAPIDS, IA 52404
Social Worker (Clinical)
2309 C ST SW
CEDAR RAPIDS, IA 52404

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Tanager Place's NPI number?

The NPI number for Tanager Place is 1114083474. It was assigned to this organization in the NPPES registry on December 29, 2006. The provider is doing business as Tanager Place Pmic.

Where is Tanager Place located?

Tanager Place is located at 2309 C St SW, Cedar Rapids, IA 52404. The listed phone number is (319) 365-9164.

What is Tanager Place's specialty?

The primary specialty registered for this NPI is Psychiatric Residential Treatment Facility with taxonomy code 323P00000X.

What insurance does Tanager Place accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health, Ambetter from NH Healthy Families and Ambetter from Sunflower Health Plan list Tanager Place as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Tanager Place was last updated on August 22, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.