HIDDEN LAKE OPCO LLC
NPI 1669308169
Skilled Nursing Facility in Saint Louis, MO
About Hidden Lake Opco Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
HIDDEN LAKE OPCO LLC (NPI 1669308169), doing business as Hidden Lake Health Care Center, is a healthcare organization registered as a skilled nursing facility in Saint Louis, Missouri and active in the NPI registry since June 2026. The organization lists Nicholas Destefane, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
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.
SAINT LOUIS, MO 63138
SAINT LOUIS, MO 63138
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 Opco LLC's NPI number?
The NPI number for Hidden Lake Opco LLC is 1669308169. It was assigned to this organization in the NPPES registry on June 22, 2026. The provider is doing business as Hidden Lake Health Care Center.
Where is Hidden Lake Opco LLC located?
Hidden Lake Opco LLC is located at 11728 Hidden Lake Dr, Saint Louis, MO 63138. The listed phone number is (314) 355-8833.
What is Hidden Lake Opco LLC's specialty?
The primary specialty registered for this NPI is Skilled Nursing Facility with taxonomy code 314000000X.
When was this NPI record last updated?
The NPPES record for Hidden Lake Opco LLC was last updated on June 22, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 53 days 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.