Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Estates of Hidden Lake LLC

Organization Skilled Nursing Facility · NPI 1376175679

Estates of Hidden Lake LLC is a Skilled Nursing Facility in St. Louis, Missouri. Registered with an NPI since 2020.

In the registry since
2020
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

11728 Hidden Lake Dr
St. Louis, MO 63138
Phone: (314) 355-8833
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Skilled Nursing Facility (primary) Taxonomy 314000000X

Record details

NPI number1376175679
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Levi Israel — Ceo · (847) 905-3000
NPI enumeratedFebruary 5, 2020
Last updated in NPPESAugust 11, 2025
Certification dateAugust 11, 2025
Mailing address11728 Hidden Lake Dr, St. Louis, MO 63138

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