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HIDDEN LAKE HEALTH CARE CENTER, LLC
NPI 1104716190
Assisted Living Facility in Saint Louis, MO

Active since July 09, 2025
11728 HIDDEN LAKE DR, SAINT LOUIS, MO 63138(314) 355-8833 Get Directions Write a Review

NPPES record last updated: September 12, 2025. Verified against the NPPES registry weekly; last sync: September 13, 2026.

Record update history: Sep 12, 2025, Jul 9, 2025 (2 updates tracked since 2025).

About Hidden Lake Health Care Center, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

HIDDEN LAKE HEALTH CARE CENTER, LLC (NPI 1104716190), doing business as Hidden Lake Health Care Center, is a healthcare organization registered as an assisted living facility in Saint Louis, Missouri and active in the NPI registry since July 2025. The organization lists Richard J. Destefane, President, as its authorized official.

NPPES Registry Identity

NPI1104716190
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameHIDDEN LAKE HEALTH CARE CENTER, LLC
Location Address11728 HIDDEN LAKE DRSaint Louis, MO 63138-1765
Mailing Address1869 Craig Park CtSaint Louis, MO 63146-4122
Phone(314) 355-8833
Organization SubpartNo
Authorized OfficialRichard J. DestefanePresident · (314) 543-3805
Enumeration DateJuly 9, 2025
Last NPPES UpdateSeptember 12, 20252 updates tracked since enumeration
NPPES CertifiedSeptember 12, 2025
✔ NPI 1104716190 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities
Taxonomy Code310400000X
Definition
A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.
11728 HIDDEN LAKE DR, Saint Louis, MO 63138
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Other Names 1

Doing Business AsHidden Lake Health Care Center

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ESTATES OF HIDDEN LAKE LLC
Skilled Nursing Facility
11728 HIDDEN LAKE DR
ST. LOUIS, MO 63138
St. Louis County (314) 355-8833
HIDDEN LAKE HEALTH CARE CENTER LLC
Skilled Nursing Facility
11728 HIDDEN LAKE DR
SAINT LOUIS, MO 63138
St. Louis County (314) 355-8833
APERION CARE HIDDEN LAKE LLC
Assisted Living Facility
11728 HIDDEN LAKE DR
SAINT LOUIS, MO 63138
St. Louis County (312) 355-8833
THE ESTATES OF HIDDEN LAKE LLC
Assisted Living Facility
11728 HIDDEN LAKE DR
ST. LOUIS, MO 63138
St. Louis County (314) 355-8833
HIDDEN LAKE AL OPCO LLC
Assisted Living Facility
11728 HIDDEN LAKE DR
SAINT LOUIS, MO 63138
St. Louis County (314) 355-8833
HIDDEN LAKE OPCO LLC
Skilled Nursing Facility
11728 HIDDEN LAKE DR
SAINT LOUIS, MO 63138
St. Louis County (314) 355-8833
APERION CARE HIDDEN LAKE LLC
Skilled Nursing Facility
11728 HIDDEN LAKE DR
SAINT LOUIS, MO 63138
St. Louis County (314) 355-8833

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Hidden Lake Health Care Center, LLC's NPI number?

The NPI number for Hidden Lake Health Care Center, LLC is 1104716190. It was assigned to this organization in the NPPES registry on July 9, 2025. The provider is doing business as Hidden Lake Health Care Center.

Where is Hidden Lake Health Care Center, LLC located?

Hidden Lake Health Care Center, LLC is located at 11728 Hidden Lake Dr, Saint Louis, MO 63138. The listed phone number is (314) 355-8833.

What is Hidden Lake Health Care Center, LLC's specialty?

The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.

When was this NPI record last updated?

The NPPES record for Hidden Lake Health Care Center, LLC was last updated on September 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.