Active NPI
Wayne County Treasury
Doing business as Wayne County Public Health Nursing Service
- Home Health Agency
- Corydon, IA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- WAYNE COUNTY TREASURY
- Doing business as
- Wayne County Public Health Nursing Service
- Practice address
- 105 N Lafayette St
Corydon, IA 50060-1724 - Phone
- (641) 872-1167
- Fax
- (641) 872-1174
- NPI assigned
- Feb 23, 2006
- Last updated
- Apr 6, 2026
- Organization subpart
- Yes
- Parent organization
- WAYNE COUNTY TREASURY
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Susan Moore
- Title
- RN/Administrator
- Phone
- (641) 872-1167
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | NU | Primary | |
| Public Health or Welfare Agency | 251K00000X | NU |
Addresses
Primary practice location
105 N Lafayette St
Corydon, IA 50060-1724
Mailing address
PO Box 102
Corydon, IA 50060-0102
Phone (641) 872-1167
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0670455 | Medicaid | IA |
Other names 1
- Wayne County Public Health Nursing Service
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20021223000012 | IA | Part A Provider - Home Health Agency | 8628986734 | Practice locations: Corydon, IA |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1811963648. Details of each certification follow.
Home health agency certification: CCN 167045
- Legal name
- WAYNE COUNTY TREASURY
- Doing business as
- WAYNE COUNTY PUBLIC HEALTH NURSING SERVICE
- Certification status
- Active
- Provider type (POS)
- Home health agency
- Participating since
- Sep 3, 1970
- Last certification
- Jan 21, 2021
- Ownership / control type
- Government Operated
- Organization structure
- Government
- Incorporated
- Jan 1, 1970 in IA
- Enrollment address
- 105 N Lafayette St
Corydon, IA 50060
Care Compare: Home health agency
Medicare Care Compare- Listed as
- Wayne County Public Health Nursing Service
- Overall star rating
- Ownership
- Government Operated
- Certified
- Sep 3, 1970
- Medicare certification status
- Active
- Services
- Nursing, Home health aide, Physical therapy, Speech pathology, Occupational therapy
National Provider Directory
National Provider Directory- Tax ID family
- Wayne County Treasury
- Part of
- Wayne County Treasury
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
dba Wayne County Public Health Nursing Services
- Public Health or Welfare Agency
- Corydon, IA
- NPI 1407271810
Locations
105 N Lafayette St
Corydon, IA 50060
Phone (641) 872-1167
Ownership & related parties
All disclosed owners & managing parties 2
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 |
|---|---|---|---|
| Susan Moore | Corporate Director | Apr 5, 2024 | |
| Operational/Managerial Control | Apr 5, 2024 | ||
| Wayne County Treasury | 5% Or Greater Direct Ownership Interest | Feb 1, 1968 | 100% |
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Family Medicine Physician
- Corydon, IA
- NPI 1114902087
Affiliated clinicians 1
Clinicians who list this facility as an affiliation in Medicare Care Compare.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1140652800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1775433600000",
"number": "1811963648",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 102",
"city": "CORYDON",
"state": "IA",
"postal_code": "500600102",
"telephone_number": "641-872-1167",
"fax_number": "641-872-1174"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "105 N LAFAYETTE ST",
"city": "CORYDON",
"state": "IA",
"postal_code": "500601724",
"telephone_number": "641-872-1167",
"fax_number": "641-872-1174"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WAYNE COUNTY TREASURY",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "WAYNE COUNTY TREASURY",
"enumeration_date": "2006-02-23",
"last_updated": "2026-04-06",
"certification_date": "2026-04-06",
"status": "A",
"authorized_official_last_name": "MOORE",
"authorized_official_first_name": "SUSAN",
"authorized_official_title_or_position": "RN/ADMINISTRATOR",
"authorized_official_telephone_number": "641-872-1167",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "NU",
"license": null,
"primary": true
},
{
"code": "251K00000X",
"taxonomy_group": "",
"desc": "Public Health or Welfare",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0670455",
"state": "IA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Wayne County Public Health Nursing Service",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Corydon, IA
- Wayne County Hospital
- Wayne County Hospital
- Wayne County Hospital
- Wayne County Hospital
- Wayne County Treasury (Wayne County Public Health Nursing Services)
- Wayne Family Medical Center, Inc. (South Central Iowa Medical Clinic)
- Joel Alan Wells, D.O.
- Ashton Wickwire, DDS
- Cortney Serene Wilson, SA-C
- Amy Lynn Wood, P.A.-C
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2026; 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.