Fireside Lodge Retirement Center Inc

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

117321 Issued in TX

Legal business name

FIRESIDE LODGE RETIREMENT CENTER INC

Practice address

4800 White Settlement Rd
Ft Worth, TX 76114-3955

Phone

(817) 738-6556

Fax

(817) 738-6559

NPI assigned

Jul 23, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Terry McGrath Jr.

Title

Owner

Phone

(817) 738-6556

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1153612800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1962423871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4800 WHITE SETTLEMENT RD",
            "city": "FT WORTH",
            "state": "TX",
            "postal_code": "761143955",
            "telephone_number": "817-738-6556",
            "fax_number": "817-738-6559"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4800 WHITE SETTLEMENT RD",
            "city": "FT WORTH",
            "state": "TX",
            "postal_code": "761143955",
            "telephone_number": "817-738-6556",
            "fax_number": "817-738-6559"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIRESIDE LODGE RETIREMENT CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MCGRATH",
        "authorized_official_first_name": "TERRY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "817-738-6556",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "TX",
            "license": "117321",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carol Lindie Finney-Gibbins, R.N.
• Jamecia L Finnie, MD
• Toni Finsterwald
• William Fiore, DMD
• Mihail Firan, MD
• Brenna Firestone, CCC-SLP
• Noushin A Firouzbakht, MD
• First Assistants & Associates
• First Care Medical Equipment, LLP
• First Choice Medical Solutions PLLC

• Skilled Nursing Facility in Ft Worth, TX
• Providers in Ft Worth, TX by specialty
• Skilled Nursing Facility in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.