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

Hidden Lake Al Opco LLC

Organization Assisted Living Facility · NPI 1467378661

Hidden Lake Al Opco LLC is an Assisted Living Facility in Saint Louis, Missouri. Registered with an NPI since 2026.

In the registry since
2026
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
Saint Louis, MO 63138-1765
Phone: (314) 355-8833
Fax: (314) 736-1098
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Assisted Living Facility (primary) Taxonomy 310400000X

Record details

NPI number1467378661
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Nicholas Destefane — President · (314) 543-3800
NPI enumeratedJune 24, 2026
Last updated in NPPESJune 24, 2026
Certification dateJune 24, 2026
Mailing address1869 Craig Park Ct, Saint Louis, MO 63146-4122

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