Organization Active NPI

Wayne County Treasury

Doing business as Wayne County Public Health Nursing Service

  • Home Health Agency
  • Corydon, IA
National Provider Identifier
1811963648
Registry record updated Apr 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
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, 2026By the provider in NPPES
Organization subpart
Yes
Parent organization
WAYNE COUNTY TREASURYAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 6, 2026

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
0670455MedicaidIA

Other names 1

  • Wayne County Public Health Nursing Service Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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
GovernmentNon-profit
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 ServiceCCN 167045 · All quality measures
Overall star rating
1.5 of 5
Ownership
Government Operated
Certified
Sep 3, 1970
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Home health aide, Physical therapy, Speech pathology, Occupational therapy

National Provider Directory

National Provider Directory
Tax ID family
Wayne County Treasury2 organizations share this tax ID, including this one
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.

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.

NameRoleSinceShare
Susan Moore Individual Corporate DirectorAdministrator Apr 5, 2024
Operational/Managerial ControlAdministrator Apr 5, 2024
Wayne County Treasury Organization, Corydon, IA Created for acquisition 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.

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

Sources for this page

Verify at the official NPI Registry.