Healthcare Provider Details

I. General information

NPI: 1730183724
Provider Name (Legal Business Name): VILLA SIENA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/08/2005
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1855 MIRAMONTE AVE
MOUNTAIN VIEW CA
94040-4029
US

IV. Provider business mailing address

1855 MIRAMONTE AVE
MOUNTAIN VIEW CA
94040-4029
US

V. Phone/Fax

Practice location:
  • Phone: 650-961-6484
  • Fax: 650-961-6254
Mailing address:
  • Phone: 650-961-6484
  • Fax: 650-961-6254

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code310400000X
TaxonomyAssisted Living Facility
License Number
License Number StateCA

VIII. Authorized Official

Name: MRS. CORINE BERNARD
Title or Position: EXECUTIVE DIRECTOR
Credential:
Phone: 650-961-6484