The Estates of Hidden Lake LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

THE 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

Other names 1

• Extended Care Consulting Other name

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": "1407488703",
    "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": "THE 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": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Extended Care Consulting",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• The Community Wellness Project
• The Covenant Home Healthcare LLC
• The Covering
• The Doctor'S Office, Inc.
• The Empowerment Spot, LLC
• The Estates of Spanish Lake, LLC
• The Estates of St. Louis, LLC
• The Foundation for Applied Psychiatric Anthropology, Inc.
• The Goeggel Company
• The Golden Sunflower Home Health Services, LLC

• Assisted Living Facility in St. Louis, MO
• Providers in St. Louis, MO by specialty
• Assisted Living 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.