Organization · Type 2 NPI

Estates of Hidden Lake LLC

Skilled Nursing Facility · St. Louis, MO

NPI number 1376175679 Active

Practice location

11728 Hidden Lake Dr
St. Louis, MO 63138

Call (314) 355-8833 Map

Specialties and licenses

TaxonomyCodeLicense
Skilled Nursing Facility Primary 314000000XNone listed

Skilled Nursing Facility: (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 r…

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About NPI 1376175679

Estates of Hidden Lake LLC's National Provider Identifier is 1376175679, issued on Feb 5, 2020. The primary taxonomy on file is Skilled Nursing Facility (314000000X), and the practice location is in St. Louis, MO. The record was last updated on Aug 11, 2025.