Provider Demographics
NPI:1407723430
Name:CHIANTI JOY LLC
Entity type:Organization
Organization Name:CHIANTI JOY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LICENSEE/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:RANDY
Authorized Official - Middle Name:SARNILLO
Authorized Official - Last Name:MORELOS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:209-684-5870
Mailing Address - Street 1:9152 CHIANTI CIR
Mailing Address - Street 2:
Mailing Address - City:STOCKTON
Mailing Address - State:CA
Mailing Address - Zip Code:95212-3815
Mailing Address - Country:US
Mailing Address - Phone:209-242-2006
Mailing Address - Fax:877-341-9312
Practice Address - Street 1:9152 CHIANTI CIR
Practice Address - Street 2:
Practice Address - City:STOCKTON
Practice Address - State:CA
Practice Address - Zip Code:95212-3815
Practice Address - Country:US
Practice Address - Phone:209-242-2006
Practice Address - Fax:877-341-9312
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:CHIANTI JOY LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2025-10-23
Last Update Date:2025-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility