Hidden Lake Opco LLC
Hidden Lake Opco LLC is a Skilled Nursing 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.
Practice location Address checks out
11728 Hidden Lake DrSaint Louis, MO 63138-1765
Phone: (314) 355-8833
Fax: (314) 736-1098
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Skilled Nursing Facility (primary) | Taxonomy 314000000X |
|---|
Record details
| NPI number | 1669308169 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Nicholas Destefane — President · (314) 543-3800 |
| Other names | Hidden Lake Health Care Center |
| NPI enumerated | June 22, 2026 |
| Last updated in NPPES | June 22, 2026 |
| Certification date | June 22, 2026 |
| Mailing address | 1869 Craig Park Ct, Saint Louis, MO 63146-4122 |
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