Active NPI
Nurse in the House Inc.
- Home Health Agency
- Fairfield, IA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0674036 | Medicaid | IA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
- Corporation
- 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 Services
- Overall star rating
- Ownership
- Proprietary
- Certified
- Mar 15, 2006
- Medicare certification status
- Active
- Services
- Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 16D1047090 | Optimae Home Health Services | Certificate of waiver | Oct 25, 2027 |
National Provider Directory
National Provider Directory- Tax ID family
- Nurse in the House Inc
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Home Health Agency
- Des Moines, IA
- NPI 1598196040
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.
| Name | Role | Since | Share |
|---|---|---|---|
| Elizabeth Eland | W-2 Managing Employee | Jul 31, 2024 | |
| Sherry Taglauer | 5% Or Greater Indirect Ownership Interest | May 25, 2017 | 7.22% |
| Jeri Blum | 5% Or Greater Indirect Ownership Interest | May 25, 2017 | 6.74% |
| Susan M Martin | 5% Or Greater Indirect Ownership Interest | May 25, 2017 | 9.82% |
| Corporate Officer | Apr 16, 2018 | ||
| Corporate Director | Aug 1, 2016 | ||
| James H Maize | 5% Or Greater Indirect Ownership Interest | May 25, 2017 | 9.82% |
| Corporate Officer | Aug 1, 2016 | ||
| Corporate Director | Aug 1, 2016 | ||
| Optimae Lifeservices Inc | 5% Or Greater Direct Ownership Interest | Sep 30, 2006 | 100% |
| Angie L Torres | 5% Or Greater Indirect Ownership Interest | May 25, 2017 | 5.32% |
| Corporate Director | Aug 1, 2016 | ||
| William E Dodds | 5% Or Greater Indirect Ownership Interest | May 25, 2017 | 46.68% |
| Corporate Officer | Sep 30, 2006 | ||
| Corporate Director | 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.
-
- Community/Behavioral Health Agency
- Muscatine, IA
- NPI 1184898470
5% Or Greater Direct Ownership Interest
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
- 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.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.