Organization · Type 2 NPI

Hidden Lake Health Care Center, LLC

Assisted Living Facility · St. Louis, MO

NPI number 1104716190 Active

Practice location

11728 Hidden Lake Dr
St. Louis, MO 63138-1765

Mailing address

1869 Craig Park Ct
St. Louis, MO 63146-4122

Specialties and licenses

TaxonomyCodeLicense
Assisted Living Facility Primary 310400000XNone listed

Assisted Living Facility: 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.

7 other providers at this address

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About NPI 1104716190

Hidden Lake Health Care Center, LLC's National Provider Identifier is 1104716190, issued on Jul 9, 2025. The primary taxonomy on file is Assisted Living Facility (310400000X), and the practice location is in St. Louis, MO. The record was last updated on Sep 12, 2025.