Provider Demographics
NPI:1194032318
Name:ANJALEONI ENTERPRISES INC
Entity Type:Organization
Organization Name:ANJALEONI ENTERPRISES 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:2010-09-09
Last Update Date:2010-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA107200828310400000X, 3104A0630X, 315D00000X
CA107201592310400000X, 3104A0630X, 315D00000X
CA107202659310400000X, 3104A0625X, 3104A0630X, 315D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3104A0630XNursing & Custodial Care FacilitiesAssisted Living FacilityAssisted Living, Behavioral Disturbances
No310400000XNursing & Custodial Care FacilitiesAssisted Living Facility
No3104A0625XNursing & Custodial Care FacilitiesAssisted Living FacilityAssisted Living, Mental Illness
No315D00000XNursing & Custodial Care FacilitiesHospice, Inpatient