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

Hidden Lake Health Care Center, LLC

Organization Assisted Living Facility · NPI 1104716190

Hidden Lake Health Care Center, LLC is an Assisted Living Facility in Saint Louis, Missouri. Medicare rates this nursing home 1 out of 5. Registered with an NPI since 2025.

CMS rating
1 of 5
In the registry since
2025
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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CMS quality rating

1 out of 5 — official nursing home rating from CMS Care Compare (CCN 265735)
Health inspection1.0 / 5
Staffing1.0 / 5
Quality measures2.0 / 5
OwnershipFor profit - Limited Liability company

Practice location Address checks out

11728 Hidden Lake Dr
Saint Louis, MO 63138-1765
Phone: (314) 355-8833
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 number1104716190
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Richard Destefane — President · (314) 543-3805
Other names Hidden Lake Health Care Center
NPI enumeratedJuly 9, 2025
Last updated in NPPESSeptember 12, 2025
Certification dateSeptember 12, 2025
Mailing address1869 Craig Park Ct, Saint Louis, MO 63146-4122

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