Fireside-Ltc, LLC
Fireside-Ltc, LLC is a healthcare organization registered as Skilled Nursing Facility in Centralia, IL, holding Type 2 (organization) NPI 1346526134 since 2011. The authorized official on file is Daren Douston, Member Cfo.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1346526134 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Fireside-Ltc, LLC |
| Other name | <Unavail> |
| Practice address | 1030 MARTIN LUTHER KING DR, Centralia, IL, 62801 |
| Phone | 6785222436 |
| Fax | 7706634539 |
| Enumeration date | 2011-10-25 |
| Last updated in NPPES | 2011-11-10 |
Authorized official
| Name | Daren Douston |
|---|---|
| Title | Member Cfo |
| Phone | 6785222436 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 314000000X | Skilled Nursing Facility | Primary | — | — |
Copy-ready billing details
Provider: Fireside-Ltc, LLC NPI: 1346526134 Taxonomy: 314000000X (Skilled Nursing Facility) Address: 1030 MARTIN LUTHER KING DR, Centralia, IL, 62801
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1700819778 | Ltc of Illinois - Fireside, Inc. | Organization | Skilled Nursing Facility | Centralia, IL |
| 1861977019 | Hcc-Healthcare Properties, LLC | Organization | Skilled Nursing Facility | Centralia, IL |
Verify this record
Cross-check NPI 1346526134 against the authoritative CMS record: view Fireside-Ltc, LLC on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
Where is Fireside-Ltc, LLC located?
How current is this record?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2011-11-10.