MEDICARE: SIENNA HOUSE INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	311ZA0620X	Adult Care Home Facility	031868	MO

General Provider Information

NPI Number	:	1932271475
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SIENNA HOUSE INC

Provider Business Mailing Address
First Line	:	1322 LEROY AVE
Second Line	:
City	:	ST LOUIS
State	:	MO
Zip	:	63133-1504
Country	:	US
Telephone Number	:	314-721-1389
Fax Number	:	314-721-3237

Provider Business Practice Location Address
First Line	:	1322 LEROY AVE
Second Line	:
City	:	SAINT LOUIS
State	:	MO
Zip	:	63133-1504
Country	:	US
Telephone Number	:	314-721-1389
Fax Number	:	314-721-3237

Authorized Official
Title or Position	:	MANAGER
Name	:	MS. MAE NMN PETERS
Credential	:
Telephone Number	:	314-721-1289

Provider Enumeration Date	:	11/13/2006
Last Update Date	:	08/22/2020

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Directions to “SIENNA HOUSE INC ” Practice Location

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