Sidra Supported Living LLC

Primary specialty

Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X

Legal business name

SIDRA SUPPORTED LIVING LLC

Practice address

12182 E Hawaii Dr
Aurora, CO 80012-5302

Phone

(845) 721-1031

NPI assigned

Jun 15, 2026

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Idris Eldursi

Title

Owner

Phone

(845) 721-1031

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1781481600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1781481600000",
    "number": "1912832643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12182 E HAWAII DR",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800125302",
            "telephone_number": "845-721-1031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12182 E HAWAII DR",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800125302",
            "telephone_number": "845-721-1031"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIDRA SUPPORTED LIVING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-06-15",
        "last_updated": "2026-06-15",
        "certification_date": "2026-06-15",
        "status": "A",
        "authorized_official_last_name": "ELDURSI",
        "authorized_official_first_name": "IDRIS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "845-721-1031"
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jason Sider, O.D.
• Harjot Sidhu
• Kathryn Anne Sidler, LPN
• Kelly Marie Sidor, NP
• Amy C. Sidorski, N.P.
• Jason Paul Sidrak
• Monique Siebenthal, PT
• Melissa C Siedell, RPH
• Bryan Allen Siedschlag, PT, DPT
• Dana Rebecca Siegel, MD

• Intellectual and/or Developmental Disabilities Residential Treatment Facility in Aurora, CO
• Providers in Aurora, CO by specialty
• Intellectual and/or Developmental Disabilities Residential Treatment Facility in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2026; 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.