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FAIR HAVEN SHELBY COUNTY HOME
NPI 1376690461
Skilled Nursing Facility in Sidney, OH

Active since January 04, 2007CLIA 36D2012009 · Waiver
2/5
Overall Rating
2901 FAIR RD, SIDNEY, OH 45365(937) 492-6900 Get Directions Write a Review

NPPES record last updated: April 19, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Fair Haven Shelby County Home NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

FAIR HAVEN SHELBY COUNTY HOME (NPI 1376690461) is a healthcare organization registered as a skilled nursing facility in Sidney, Ohio and active in the NPI registry since January 2007. The organization holds a CLIA Waiver certificate valid through August 25, 2026 and lists Anita S. Miller, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1376690461
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameSHELBY COUNTY OHIO
Location Address2901 FAIR RDSidney, OH 45365-9534
Mailing Address2901 Fair RdSidney, OH 45365-9534 · (937) 492-6900
Phone(937) 492-6900
Organization SubpartYesParent: Shelby County
Authorized OfficialAnita S. MillerExecutive Director · (937) 492-6900
Enumeration DateJanuary 4, 2007
Last NPPES UpdateApril 19, 2012
✔ NPI 1376690461 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySkilled Nursing FacilityNursing & Custodial Care Facilities
Taxonomy Code314000000X
Definition
(1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis.
2901 FAIR RD, Sidney, OH 45365
Open in Google Maps ↗

Other Names 1

Doing Business AsFair Haven Shelby County Home

Other Identifiers 2

Medicare OSCAR/certification366235OH
Medicaid0270111OH

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 36D2012009

Fair Haven Shelby County Home · Sidney, OH
Active · expires Aug 25, 2026
CLIA Number36D2012009
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateAugust 26, 2024
Certificate Expiration DateAugust 25, 2026
Laboratory DirectorAnita S. Miller
Laboratory Phone(937) 492-6900
Laboratory LocationFair Haven Shelby County Home2901 Fair Road, Sidney, OH 45365
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Nursing Home Quality Ratings CMS Care Compare

Quality ratings, staffing and inspection history for Fair Haven Shelby County (CMS certification number 366235), from CMS Care Compare.

Fair Haven Shelby County

Nursing home · Sidney, OH
2/5 CMS Overall Rating
OwnershipGovernment - County
CMS Certification Number366235
Certified Beds125 beds69 residents per day on average
Medicare & Medicaid Participant SinceMarch 2, 2002
Resident & Family CouncilResident council
Automatic sprinkler system

CMS Star Ratings

Quality Measures
Based on a select set of clinical quality measures.
2/5
Long-Stay Quality
Quality of care delivered to long-term residents.
3/5
Short-Stay Quality
Quality of care delivered to short-term and rehabilitation residents.
1/5
Staffing
Based on nursing staff hours relative to resident needs.
1/5
Weighted Health Inspection Score
Lower scores are better; the score summarizes deficiencies found on recent inspections.
59.33
Ratings are assigned by CMS on a one-to-five star scale; five is the highest. Categories without a current CMS rating are not shown.

Staffing & Turnover

Total Nurse Staffing
nurse aide 1.56 · LPN 0.67 · RN 0.4
2.63 hrs per resident per day
Weekend Nurse Staffing
2.33 hrs per resident per day
Physical Therapist Staffing
0.03 hrs per resident per day
Nursing Staff Turnover
Share of nursing staff who left the facility within the past year.
41.8%
Registered Nurse Turnover
33.3%
Administrators Who Have Left
In the past year.
1
Higher staffing hours generally allow more direct care time per resident.

Inspections & Enforcement

Facility-Reported Incidents
0
Substantiated Complaints
2
Fines
0
Medicare Payment Denials
0
Total Penalties
0
Counts come from CMS inspections and complaint investigations over approximately the past three years. CMS Care Compare data as of October 1, 2024.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

NUTRITION SERVICES OF SHELBY COUNTY
Home Delivered Meals
2901 FAIR RD
SIDNEY, OH 45365
Shelby County (937) 492-6900
ADULT DAY SERVICES OF SHELBY COUNTY
Public Health or Welfare
2901 FAIR RD
SIDNEY, OH 45365
Shelby County (937) 492-8074

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Shelby County Ohio's NPI number?

The NPI number for Shelby County Ohio is 1376690461. It was assigned to this organization in the NPPES registry on January 4, 2007. The provider is doing business as Fair Haven Shelby County Home.

Where is Shelby County Ohio located?

Shelby County Ohio is located at 2901 Fair Rd, Sidney, OH 45365. The listed phone number is (937) 492-6900.

What is Shelby County Ohio's specialty?

The primary specialty registered for this NPI is Skilled Nursing Facility with taxonomy code 314000000X.

Does Shelby County Ohio hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 36D2012009) is associated with this NPI, valid through August 25, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

Is Shelby County Ohio a Medicare-certified nursing home?

Yes. Fair Haven Shelby County is a Medicare-certified nursing home with 125 certified beds.

What quality rating does Shelby County Ohio have?

CMS rates Fair Haven Shelby County 2 out of 5 stars overall on Care Compare. The full measure detail is in the Nursing Home Quality Ratings section above.

When was this NPI record last updated?

The NPPES record for Shelby County Ohio was last updated on April 19, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.