Organization Active NPI

Shelby County Board of MRDD

  • Developmentally Disabled Services Day Training Agency
  • Sidney, OH
National Provider Identifier
1184742793
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X
License
7500010 Issued in OH
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, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
7500010OtherOHODMRDD CONTRACT NUMBER
2556069MedicaidOH

National Provider Directory

National Provider Directory
Tax ID family
Sidney Shelby Co HLTH Dept4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

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.

Verify at the official NPI Registry.