Organization Active NPI

Nurse in the House Inc.

  • Home Health Agency
  • Fairfield, IA
National Provider Identifier
1750308698
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
NURSE IN THE HOUSE INC.
Practice address
301 W Burlington Ave
Fairfield, IA 52556-3242
Phone
(641) 472-4464
Fax
(641) 472-2551
NPI assigned
Jul 16, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Ms. Nadine Lee Countryman, REGISTERED NURSE
Title
Chief Operating Officer
Phone
(641) 472-4464

Specialties & licenses 1

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

Addresses

Primary practice location

301 W Burlington Ave
Fairfield, IA 52556-3242

Mailing address

301 W Burlington Ave
Fairfield, IA 52556-3242
Phone (641) 472-4464

Other identifiers 1

IdentifierTypeStateIssuer
0674036MedicaidIA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050930000395 IA Part A Provider - Home Health Agency 1557396215 Practice locations: Burlington, IA; Fairfield, IA; Washington, IA

Home health agency certification: CCN 167403

Legal name
NURSE IN THE HOUSE INC.
Doing business as
OPTIMAE HOME HEALTH
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Mar 15, 2006
Last certification
Nov 5, 2020
Ownership / control type
Proprietary
Organization structure
CorporationProprietary
Incorporated
May 1, 2006 in IA
Enrollment address
206 W Burlington Ave
Fairfield, IA 52556-3239

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Care Compare: Home health agency

Medicare Care Compare
Listed as
Optimae Home Health ServicesCCN 167403
Overall star rating
2 of 5
Ownership
Proprietary
Certified
Mar 15, 2006
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
16D1047090Optimae Home Health Services206 West Burlington Avenue, Fairfield, IA 52556Certificate of waiverOct 25, 2027

National Provider Directory

National Provider Directory
Tax ID family
Nurse in the House Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

825 N 6th St
Ste 4
Burlington, IA 52601
Phone (319) 237-1286

Ownership & related parties

All disclosed owners & managing parties 8

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Elizabeth Eland Individual W-2 Managing EmployeeAd; Jul 31, 2024
Sherry Taglauer Individual 5% Or Greater Indirect Ownership Interest May 25, 2017 7.22%
Jeri Blum Individual 5% Or Greater Indirect Ownership Interest May 25, 2017 6.74%
Susan M Martin Individual 5% Or Greater Indirect Ownership InterestCoo May 25, 2017 9.82%
Corporate OfficerCoo Apr 16, 2018
Corporate DirectorBoard Member Aug 1, 2016
James H Maize Individual 5% Or Greater Indirect Ownership Interest May 25, 2017 9.82%
Corporate OfficerCoo Aug 1, 2016
Corporate DirectorBoard Member Aug 1, 2016
Optimae Lifeservices Inc Organization, Fairfield, IA Corporation 5% Or Greater Direct Ownership Interest Sep 30, 2006 100%
Angie L Torres Individual 5% Or Greater Indirect Ownership Interest May 25, 2017 5.32%
Corporate DirectorBoard Member Aug 1, 2016
William E Dodds Individual 5% Or Greater Indirect Ownership Interest May 25, 2017 46.68%
Corporate OfficerPresident Sep 30, 2006
Corporate DirectorBoard Member Sep 30, 2006

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Facilities with the same owner 1

Facilities that share an organizational owner with 5% or greater ownership or operational control.

NPI Registry JSON

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

{
    "created_epoch": "1153008000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1750308698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 W BURLINGTON AVE",
            "city": "FAIRFIELD",
            "state": "IA",
            "postal_code": "525563242",
            "telephone_number": "641-472-4464",
            "fax_number": "641-472-2551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 W BURLINGTON AVE",
            "city": "FAIRFIELD",
            "state": "IA",
            "postal_code": "525563242",
            "telephone_number": "641-472-4464",
            "fax_number": "641-472-2551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NURSE IN THE HOUSE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "COUNTRYMAN",
        "authorized_official_first_name": "NADINE",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "CHIEF OPERATING OFFICER",
        "authorized_official_telephone_number": "641-472-4464",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "REGISTERED NURSE"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "IA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0674036",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairfield, IA

Sources for this page

Verify at the official NPI Registry.