Active NPI
Shelby County Board of MRDD
- Developmentally Disabled Services Day Training Agency
- Sidney, OH
National Provider Identifier
1184742793
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Developmentally Disabled Services Day Training Agency
- License
- 7500010
- Legal business name
- SHELBY COUNTY BOARD OF MRDD
- Practice address
- 1200 Childrens Home Rd
Sidney, OH 45365-7731 - Phone
- (937) 497-8155
- Fax
- (937) 498-4567
- NPI assigned
- Mar 26, 2007
- Last updated
- Sep 11, 2025
- 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
- Mrs. Laura Zureich
- Title
- Superintendent
- Phone
- (937) 497-8155
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Management Agency | 251B00000X | 7500010 | OH | |
| Developmentally Disabled Services Day Training Agency | 251C00000X | 7500010 | OH | Primary |
Addresses
Primary practice location
1200 Childrens Home Rd
Sidney, OH 45365-7731
Mailing address
1200 Childrens Home Rd
Sidney, OH 45365-7731
Phone (937) 497-8155
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7500010 | Other | OH | ODMRDD CONTRACT NUMBER |
| 2556069 | Medicaid | OH |
National Provider Directory
National Provider Directory- Tax ID family
- Sidney Shelby Co HLTH Dept
Other organizations with this tax ID 3
Organizations that report the same tax identification number in the National Provider Directory.
-
- Public Health or Welfare Agency
- Sidney, OH
- NPI 1730464306
-
- Home Delivered Meals
- Sidney, OH
- NPI 1467737049
-
dba Fair Haven Shelby County Home
- Skilled Nursing Facility
- Sidney, OH
- NPI 1376690461
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174867200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1757548800000",
"number": "1184742793",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1200 CHILDRENS HOME RD",
"city": "SIDNEY",
"state": "OH",
"postal_code": "453657731",
"telephone_number": "937-497-8155",
"fax_number": "937-498-4567"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1200 CHILDRENS HOME RD",
"city": "SIDNEY",
"state": "OH",
"postal_code": "453657731",
"telephone_number": "937-497-8155",
"fax_number": "937-498-4567"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SHELBY COUNTY BOARD OF MRDD",
"organizational_subpart": "NO",
"enumeration_date": "2007-03-26",
"last_updated": "2025-09-11",
"status": "A",
"authorized_official_last_name": "ZUREICH",
"authorized_official_first_name": "LAURA",
"authorized_official_title_or_position": "SUPERINTENDENT",
"authorized_official_telephone_number": "937-497-8155",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "251B00000X",
"taxonomy_group": "",
"desc": "Case Management",
"state": "OH",
"license": "7500010",
"primary": false
},
{
"code": "251C00000X",
"taxonomy_group": "",
"desc": "Day Training, Developmentally Disabled Services",
"state": "OH",
"license": "7500010",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ODMRDD CONTRACT NUMBER",
"identifier": "7500010",
"state": "OH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2556069",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Sidney, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.