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Contact Information

ESTATES OF HIDDEN LAKE LLC
11728 HIDDEN LAKE DR
SAINT LOUIS, MO63138
 Phone: 314-355-8833
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Skilled Nursing Facility

314000000X A1[8] Skilled Nursing Facility
Indicates primary specialty

NPI Profile & details for ESTATES OF HIDDEN LAKE LLC

NPI Number 1376175679
LBN Legal business name ESTATES OF HIDDEN LAKE LLC
Authorized official LEVI ISRAEL - (CEO)
Entity Organization
Organization subpart 1 No
Enumeration date 02/05/2020
Last updated 08/11/2025 - About 10 months ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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