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Hidden Lake Health Care Center LLC

Skilled Nursing Facility in Saint Louis, MO · enumerated 2025 · authorized official Richard Destefane, President.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1376433342

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Registry record

Entity type Organization (Type 2)
Legal business name Hidden Lake Health Care Center LLC
Other name <Unavail>
Practice address 11728 Hidden Lake Dr, Saint Louis, MO, 63138
Phone (314) 355-8833
Enumeration date Jul 9, 2025
Last updated in NPPES Oct 2, 2025

Taxonomy & classification

311500000X Alzheimer Center (Dementia Center) Nursing & Custodial Care Facilities Secondary
314000000X Skilled Nursing Facility Nursing & Custodial Care Facilities Primary

Authorized official

Name Richard Destefane
Title President
Phone (314) 543-3805

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is the NPI number for Hidden Lake Health Care Center LLC?
The NPI for Hidden Lake Health Care Center LLC is 1376433342, a Type 2 (organization) record in the CMS NPPES registry.
Who is the authorized official for Hidden Lake Health Care Center LLC?
NPPES lists Richard Destefane (President) as the authorized official for this organization.

Providers at this address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2025-10-02.