Marian Homes Inc.

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

MARIAN HOMES INC.

Practice address

3086 Armstrong Ave
Clovis, CA 93611-5201

Phone

(559) 347-9900

Fax

(559) 347-0706

NPI assigned

May 29, 2024

Organization subpart

No

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

Authorized official

Name

Sundari Susan Kendakur

Title

Executive Director

Phone

(559) 347-9900

Specialties & licenses 4

Addresses

Other identifiers 3

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

{
    "created_epoch": "1716940800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1716940800000",
    "number": "1235979915",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3086 ARMSTRONG AVE",
            "city": "CLOVIS",
            "state": "CA",
            "postal_code": "936115201",
            "telephone_number": "559-347-9900",
            "fax_number": "559-347-0706"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3086 ARMSTRONG AVE",
            "city": "CLOVIS",
            "state": "CA",
            "postal_code": "936115201",
            "telephone_number": "559-347-9900",
            "fax_number": "559-347-0706"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARIAN HOMES INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-29",
        "last_updated": "2024-05-29",
        "certification_date": "2024-05-29",
        "status": "A",
        "authorized_official_last_name": "KENDAKUR",
        "authorized_official_first_name": "SUNDARI",
        "authorized_official_middle_name": "SUSAN",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "559-347-9900"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3104A0625X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Mental Illness",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3104A0630X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Behavioral Disturbances",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "315D00000X",
            "taxonomy_group": "",
            "desc": "Hospice, Inpatient",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COMMUNITY CARE LICENSING",
            "identifier": "107202867",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COMMUNITY CARE LICENSING",
            "identifier": "107203505",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COMMUNITY CARE LICENSING",
            "identifier": "107201840",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amitasha Mann, M.D.
• Judy Ann Mann, RDHAP
• Savera Mann
• Dandel Jason Gaviola Maranan
• Rainelda Palongpalong Maraon
• Mark Godiksen
• Hannah Josephine Marozik
• Aleecia Regina Marrufo, RADT
• Bailey Mae Martin
• Derrick Martin, MD

• Assisted Living Facility in Clovis, CA
• Providers in Clovis, CA by specialty
• Assisted Living Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2024; 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.