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 Alzheimer Center (Dementia Center) · NPI 1376433342

Hidden Lake Health Care Center LLC is an Alzheimer Center (Dementia Center) in Saint Louis, Missouri. Registered with an NPI since 2025.

In the registry since
2025
Specialties on file
2
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
Show map & directions

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

Specialties & licences

Skilled Nursing Facility (primary) Taxonomy 314000000X
Alzheimer Center (Dementia Center) Taxonomy 311500000X

Record details

NPI number1376433342
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 NPPESOctober 2, 2025
Certification dateOctober 2, 2025
Mailing address1869 Craig Park Ct, Saint Louis, MO 63146-4122

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