FIRESIDE HOUSE OF CENTRALIA
NPI 1700819778
Skilled Nursing Facility in Centralia, IL
About Fireside House Of Centralia NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
FIRESIDE HOUSE OF CENTRALIA (NPI 1700819778) is a healthcare organization registered as a skilled nursing facility in Centralia, Illinois and active in the NPI registry since July 2006. The organization lists Douglas K Mittleider, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Other Identifiers 2
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.
CENTRALIA, IL 62801
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 Ltc Of Illinois - Fireside, Inc.'s NPI number?
The NPI number for Ltc Of Illinois - Fireside, Inc. is 1700819778. It was assigned to this organization in the NPPES registry on July 10, 2006. The provider is doing business as Fireside House Of Centralia.
Where is Ltc Of Illinois - Fireside, Inc. located?
Ltc Of Illinois - Fireside, Inc. is located at 1030 Martin Luther King Dr, Centralia, IL 62801. The listed phone number is (618) 532-1833.
What is Ltc Of Illinois - Fireside, Inc.'s specialty?
The primary specialty registered for this NPI is Skilled Nursing Facility with taxonomy code 314000000X.
When was this NPI record last updated?
The NPPES record for Ltc Of Illinois - Fireside, Inc. was last updated on April 20, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.