Provider Demographics
NPI:1629537337
Name:SIENNA CARE LLC
Entity Type:Organization
Organization Name:SIENNA CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:RENUKA
Authorized Official - Middle Name:
Authorized Official - Last Name:KAUL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:317-650-6768
Mailing Address - Street 1:6144 SIENNA RANCH RD STE 200
Mailing Address - Street 2:
Mailing Address - City:MISSOURI CITY
Mailing Address - State:TX
Mailing Address - Zip Code:77459-7120
Mailing Address - Country:US
Mailing Address - Phone:316-341-1748
Mailing Address - Fax:346-341-7150
Practice Address - Street 1:6144 SIENNA RANCH RD STE 200
Practice Address - Street 2:
Practice Address - City:MISSOURI CITY
Practice Address - State:TX
Practice Address - Zip Code:77459-7120
Practice Address - Country:US
Practice Address - Phone:346-341-1748
Practice Address - Fax:346-341-7150
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-03-13
Last Update Date:2019-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy