NPIMap

Organization Active NPI

Wayne County Home Care Aide Agency

  • Home Health Agency
  • Corydon, IA
National Provider Identifier
1497820971
Registry record updated May 3, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
5885CO93 Issued in IA
Legal business name
WAYNE COUNTY HOME CARE AIDE AGENCY
Practice address
100 E South St
Corydon, IA 50060-1724
Phone
(641) 872-2012
Fax
(641) 872-2012
NPI assigned
Nov 21, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 3, 2016

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

Authorized official

Name
Holly Arnold
Title
Director
Phone
(641) 872-2012

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 5885CO93 IA Primary

Addresses

Primary practice location

100 E South St
Corydon, IA 50060-1724

Mailing address

100 E South St
P.O. Box 25
Corydon, IA 50060-1724
Phone (641) 872-2012

Other identifiers 1

IdentifierTypeStateIssuer
0077131MedicaidIA

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1164067200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1462233600000",
    "number": "1497820971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 E SOUTH ST",
            "address_2": "P.O. BOX 25",
            "city": "CORYDON",
            "state": "IA",
            "postal_code": "500601724",
            "telephone_number": "641-872-2012",
            "fax_number": "641-872-2012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 E SOUTH ST",
            "city": "CORYDON",
            "state": "IA",
            "postal_code": "500601724",
            "telephone_number": "641-872-2012",
            "fax_number": "641-872-2012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WAYNE COUNTY HOME CARE AIDE AGENCY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-21",
        "last_updated": "2016-05-03",
        "status": "A",
        "authorized_official_last_name": "ARNOLD",
        "authorized_official_first_name": "HOLLY",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "641-872-2012"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "IA",
            "license": "5885CO93",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0077131",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Corydon, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2016; 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.