Provider Demographics
NPI:1013922327
Name:FINNISH AMERICAN REST HOME, INC
Entity Type:Organization
Organization Name:FINNISH AMERICAN REST HOME, INC
Other - Org Name:FINNISH-AMERICAN VILLAGE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR, CEO
Authorized Official - Prefix:
Authorized Official - First Name:DANIEL
Authorized Official - Middle Name:ANDREW
Authorized Official - Last Name:BENSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:561-588-4333
Mailing Address - Street 1:1800 SOUTH DR
Mailing Address - Street 2:
Mailing Address - City:LAKE WORTH
Mailing Address - State:FL
Mailing Address - Zip Code:33461-6133
Mailing Address - Country:US
Mailing Address - Phone:561-588-4333
Mailing Address - Fax:561-588-1190
Practice Address - Street 1:1800 SOUTH DR
Practice Address - Street 2:
Practice Address - City:LAKE WORTH
Practice Address - State:FL
Practice Address - Zip Code:33461
Practice Address - Country:US
Practice Address - Phone:561-588-4333
Practice Address - Fax:561-588-1190
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:FINNISH AMERICAN REST HOME
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2006-07-29
Last Update Date:2020-04-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSNF1011096314000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL020546000Medicaid