Provider Demographics
NPI:1932271475
Name:SIENNA HOUSE INC
Entity Type:Organization
Organization Name:SIENNA HOUSE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:MS
Authorized Official - First Name:MAE
Authorized Official - Middle Name:NMN
Authorized Official - Last Name:PETERS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:314-721-1289
Mailing Address - Street 1:1322 LEROY AVE
Mailing Address - Street 2:
Mailing Address - City:ST LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63133-1504
Mailing Address - Country:US
Mailing Address - Phone:314-721-1389
Mailing Address - Fax:314-721-3237
Practice Address - Street 1:1322 LEROY AVE
Practice Address - Street 2:
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63133-1504
Practice Address - Country:US
Practice Address - Phone:314-721-1389
Practice Address - Fax:314-721-3237
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-13
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO031868311ZA0620X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes311ZA0620XNursing & Custodial Care FacilitiesCustodial Care FacilityAdult Care Home