Organization · Type 2 NPI

Hidden Lake Health Care Center LLC

Skilled Nursing Facility · St. Louis, MO

NPI number 1376433342 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
Alzheimer Center (Dementia Center) 311500000XNone listed
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 1376433342

Hidden Lake Health Care Center LLC's National Provider Identifier is 1376433342, issued on Jul 9, 2025. 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 Oct 2, 2025.