Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

HIDDEN LAKE OPCO LLC
NPI 1669308169
Skilled Nursing Facility in Saint Louis, MO

Active since June 22, 2026
11728 HIDDEN LAKE DR, SAINT LOUIS, MO 63138(314) 355-8833(314) 736-1098 Get Directions Write a Review

NPPES record added: June 22, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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

NPI1669308169
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameHIDDEN LAKE OPCO LLC
Location Address11728 HIDDEN LAKE DRSaint Louis, MO 63138-1765
Mailing Address1869 Craig Park CtSaint Louis, MO 63146-4122 · (314) 543-3800
Fax(314) 736-1098
Organization SubpartNo
Authorized OfficialNicholas DestefanePresident · (314) 543-3800
Enumeration DateJune 22, 2026
NPPES CertifiedJune 22, 2026
NPI 1669308169 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySkilled Nursing FacilityNursing & Custodial Care Facilities
Taxonomy Code314000000X
Definition
(1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis.
11728 HIDDEN LAKE DR, Saint Louis, MO 63138

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.

Assisted Living Facility
11728 HIDDEN LAKE DR
SAINT LOUIS, MO 63138
Skilled Nursing Facility
11728 HIDDEN LAKE DR
ST. LOUIS, MO 63138
Skilled Nursing Facility
11728 HIDDEN LAKE DR
SAINT LOUIS, MO 63138
Assisted Living Facility
11728 HIDDEN LAKE DR
SAINT LOUIS, MO 63138
Assisted Living Facility
11728 HIDDEN LAKE DR
ST. LOUIS, MO 63138
Assisted Living Facility
11728 HIDDEN LAKE DR
SAINT LOUIS, MO 63138
Skilled Nursing Facility
11728 HIDDEN LAKE DR
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.