# F.C.H. INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** FIRESIDE CONVALESCENT HOSPITAL
- **Organization subpart:** No

## Provider details

- **NPI number:** 1679558175
- **Authorized official:** MARC JOHNSON (CFO)
- **Authorized official phone:** (949) 373-8373

## Contact information

- **Practice address:** 947 3RD ST, SANTA MONICA, CA 90403-2599
- **Practice address phone:** (310) 393-0475
- **Mailing address:** 25910 ACERO STE 350, MISSION VIEJO, CA 92691-7908
- **Mailing address phone:** (949) 441-9258

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 910000048 | CA | Yes |

## Other

- **Enumeration date:** 12/07/2005
- **Last updated:** 04/05/2024

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | ZZT18108G | — | CA |