Estates of Hidden Lake LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

ESTATES OF HIDDEN LAKE LLC

Practice address

11728 Hidden Lake Dr
St. Louis, MO 63138

Phone

(314) 355-8833

NPI assigned

Feb 5, 2020

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Levi Israel

Title

Ceo

Phone

(847) 905-3000

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Christopher T. Labonte, MD

  • Internal Medicine Physician
  • Town and Country, MO
  • NPI 1093813099
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1580860800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1754870400000",
    "number": "1376175679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11728 HIDDEN LAKE DR",
            "city": "ST. LOUIS",
            "state": "MO",
            "postal_code": "63138",
            "telephone_number": "314-355-8833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11728 HIDDEN LAKE DR",
            "city": "ST. LOUIS",
            "state": "MO",
            "postal_code": "63138",
            "telephone_number": "314-355-8833"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ESTATES OF HIDDEN LAKE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-05",
        "last_updated": "2025-08-11",
        "certification_date": "2025-08-11",
        "status": "A",
        "authorized_official_last_name": "ISRAEL",
        "authorized_official_first_name": "LEVI",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "847-905-3000",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah Essner, PHARM.D.
• Julia E Esswein, MD
• Laura A Esswein, MD
• Establishing Interactions
• Michele Marie Estabrook, MD
• Diana Chisholm Estep
• Tanika C Esters, NP
• Toi Esters
• Emily Estes
• Kimberly Irene Estes, LPC

• Skilled Nursing Facility in St. Louis, MO
• Providers in St. Louis, MO by specialty
• Skilled Nursing Facility in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.