Hidden Lake Snf Opco, LLC
NPI 1245857135ActiveOrganization· Skilled Nursing Facility· Raytown, MO
Skilled Nursing Facility in Raytown, Missouri, registered in NPPES in June 2020. The authorized official on file is Mary Beth Hundley, Chief Accounting Officer.
Overview
| NPI | 1245857135 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jun 26, 2020 |
| Last updated in NPPES | Jul 21, 2020 |
| Certified by provider | Jul 21, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Skilled Nursing Facility Primary | 314000000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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