Provider Demographics
NPI:1235979915
Name:MARIAN HOMES INC.
Entity type:Organization
Organization Name:MARIAN HOMES INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:SUNDARI
Authorized Official - Middle Name:SUSAN
Authorized Official - Last Name:KENDAKUR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:559-347-9900
Mailing Address - Street 1:3086 ARMSTRONG AVE
Mailing Address - Street 2:
Mailing Address - City:CLOVIS
Mailing Address - State:CA
Mailing Address - Zip Code:93611-5201
Mailing Address - Country:US
Mailing Address - Phone:559-347-9900
Mailing Address - Fax:559-347-0706
Practice Address - Street 1:3086 ARMSTRONG AVE
Practice Address - Street 2:
Practice Address - City:CLOVIS
Practice Address - State:CA
Practice Address - Zip Code:93611-5201
Practice Address - Country:US
Practice Address - Phone:559-347-9900
Practice Address - Fax:559-347-0706
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-05-29
Last Update Date:2024-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility
No3104A0625XNursing & Custodial Care FacilitiesAssisted Living FacilityAssisted Living, Mental Illness
No3104A0630XNursing & Custodial Care FacilitiesAssisted Living FacilityAssisted Living, Behavioral Disturbances
No315D00000XNursing & Custodial Care FacilitiesHospice, Inpatient
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA107202867OtherCOMMUNITY CARE LICENSING
CA107203505OtherCOMMUNITY CARE LICENSING
CA107201840OtherCOMMUNITY CARE LICENSING