Healthcare Provider Details

I. General information

NPI: 1861291049
Provider Name (Legal Business Name): SIENA LAKES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/11/2025
Last Update Date: 03/11/2025
Certification Date: 03/09/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2825 SIENA LAKES CIRCLE
NAPLES FL
34109
US

IV. Provider business mailing address

701 MAIDEN CHOICE LN
CATONSVILLE MD
21228-5968
US

V. Phone/Fax

Practice location:
  • Phone: 238-325-6700
  • Fax:
Mailing address:
  • Phone: 239-325-6700
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number
License Number State

VIII. Authorized Official

Name: PAMELA M STINER
Title or Position: VP. REGIONAL FINANCE
Credential:
Phone: 410-402-2534