Provider Demographics
NPI:1821116823
Name:JOHN T FINLEY INC
Entity Type:Organization
Organization Name:JOHN T FINLEY INC
Other - Org Name:REST HAVEN CONVALESCENT & RETIREMENT HOME
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:C
Authorized Official - Last Name:FINLEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:660-827-4613
Mailing Address - Street 1:1800 S INGRAM AVE
Mailing Address - Street 2:
Mailing Address - City:SEDALIA
Mailing Address - State:MO
Mailing Address - Zip Code:65301-7538
Mailing Address - Country:US
Mailing Address - Phone:660-827-0845
Mailing Address - Fax:660-827-4613
Practice Address - Street 1:1800 S INGRAM AVE
Practice Address - Street 2:
Practice Address - City:SEDALIA
Practice Address - State:MO
Practice Address - Zip Code:65301-7538
Practice Address - Country:US
Practice Address - Phone:660-827-0845
Practice Address - Fax:660-827-4613
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-27
Last Update Date:2016-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO033742314000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO101494102Medicaid
MO101494102Medicaid