What is Fireside-Ltc, LLC's NPI number?

Fireside-Ltc, LLC's National Provider Identifier (NPI) is 1346526134, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What type of organization is Fireside-Ltc, LLC?

Fireside-Ltc, LLC is classified in the NPPES registry as Skilled Nursing Facility (Nursing & Custodial Care Facilities).

Where is Fireside-Ltc, LLC located?

Fireside-Ltc, LLC's practice location on file with NPPES is 1030 Martin Luther King Dr, Centralia, IL 62801-3002.

What is Fireside-Ltc, LLC's phone number?

The practice phone number listed in the NPPES registry for Fireside-Ltc, LLC is (678) 522-2436.

Who is the authorized official for Fireside-Ltc, LLC?

The authorized official listed on Fireside-Ltc, LLC's NPPES record is Daren Douston, Member Cfo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.

Is Fireside-Ltc, LLC's NPI active?

Yes — Fireside-Ltc, LLC's NPI (1346526134) is active in the NPPES registry as of the last update on 2011-11-10.

OrganizationActive

Fireside-Ltc, LLC

NPI 1346526134 · Skilled Nursing Facility · Centralia, IL

Fireside-Ltc, LLC is a Skilled Nursing Facility organization in Centralia, IL (NPI 1346526134).

Provider details

NPI number: 1346526134
Entity type: Organization
Primary specialty: Skilled Nursing FacilityNursing & Custodial Care Facilities
Organization subpart: No
Authorized official: Daren Douston, Member Cfo(678) 522-2436

Practice location

1030 Martin Luther King Dr

Centralia, IL 62801-3002

Phone: (678) 522-2436

Fax: (770) 663-4539

Street-level locationGet directions

More IL providers

Mailing address

10945 State Bridge Rd

Alpharetta, GA 30022-8164

Specialties & taxonomies

Skilled Nursing FacilityPrimary314000000X
Nursing & Custodial Care Facilities

Other names (DBA / former)

Doing business as: Fireside House of Centralia

Profile Score

Detailed profile(81/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure38% of score
15 yrs in NPPES registry
Profile completeness38% of score
100% of core fields populated
Practice footprint23% of score
1 documented practice location

Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.

Enumerated: 2011-10-25
Last updated: 2011-11-10

Frequently asked questions

What is Fireside-Ltc, LLC's NPI number?: Fireside-Ltc, LLC's National Provider Identifier (NPI) is 1346526134, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
What type of organization is Fireside-Ltc, LLC?: Fireside-Ltc, LLC is classified in the NPPES registry as Skilled Nursing Facility (Nursing & Custodial Care Facilities).
Where is Fireside-Ltc, LLC located?: Fireside-Ltc, LLC's practice location on file with NPPES is 1030 Martin Luther King Dr, Centralia, IL 62801-3002.
What is Fireside-Ltc, LLC's phone number?: The practice phone number listed in the NPPES registry for Fireside-Ltc, LLC is (678) 522-2436.
Who is the authorized official for Fireside-Ltc, LLC?: The authorized official listed on Fireside-Ltc, LLC's NPPES record is Daren Douston, Member Cfo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
Is Fireside-Ltc, LLC's NPI active?: Yes — Fireside-Ltc, LLC's NPI (1346526134) is active in the NPPES registry as of the last update on 2011-11-10.

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

Provider details

Practice location

Mailing address

Specialties & taxonomies

Other names (DBA / former)

Profile Score

Registry dates

Frequently asked questions

Specialties & taxonomies

Other names (DBA / former)

Profile Score

Frequently asked questions