Provider Demographics
NPI:1457130338
Name:SIENA FRANCIS HOUSE
Entity Type:Organization
Organization Name:SIENA FRANCIS HOUSE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CREDENTIALING
Authorized Official - Prefix:
Authorized Official - First Name:KADRA
Authorized Official - Middle Name:
Authorized Official - Last Name:OMEROVIC
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:402-421-1182
Mailing Address - Street 1:1117 N 17TH ST
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68102-4102
Mailing Address - Country:US
Mailing Address - Phone:402-341-1821
Mailing Address - Fax:
Practice Address - Street 1:1117 N 17TH ST
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68102-4102
Practice Address - Country:US
Practice Address - Phone:402-341-1821
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-09-28
Last Update Date:2023-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty