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4112 FERN VALLEY ROAD OPS LLC
NPI 1124862750
Substance Abuse Rehabilitation Facility in Louisville, KY

Active since June 19, 2024
4112 FERN VALLEY RD, LOUISVILLE, KY 40219(502) 964-2699(833) 728-0420 Get Directions Write a Review

NPPES record last updated: June 19, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About 4112 Fern Valley Road Ops Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

4112 FERN VALLEY ROAD OPS LLC (NPI 1124862750) is a healthcare organization registered as a substance abuse rehabilitation facility in Louisville, Kentucky and active in the NPI registry since June 2024. The organization lists Alicia Neal, Manager, Cred & Contracting, as its authorized official.

NPPES Registry Identity

NPI1124862750
Entity TypeOrganization
Primary Taxonomy324500000X
Legal Business Name4112 FERN VALLEY ROAD OPS LLC
Location Address4112 FERN VALLEY RDLouisville, KY 40219-1973
Mailing Address133 Holiday Ct Ste 102Franklin, TN 37067-1386 · (615) 281-9050
Phone(502) 964-2699
Fax(833) 728-0420
Organization SubpartNo
Authorized OfficialAlicia NealManager, Cred & Contracting · (615) 281-9050
Enumeration DateJune 19, 2024
NPPES CertifiedJune 19, 2024
✔ NPI 1124862750 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySubstance Abuse Rehabilitation FacilityResidential Treatment Facilities
Taxonomy Code324500000X
Definition
A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.
4112 FERN VALLEY RD, Louisville, KY 40219
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Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LANDMARK RECOVERY OF KENTUCKY LLC
Substance Abuse Rehabilitation Facility
4112 FERN VALLEY RD
LOUISVILLE, KY 40219
Jefferson County (502) 964-2699
JARROD FOUSHEE LCSW
Social Worker (Clinical)
4112 FERN VALLEY RD
LOUISVILLE, KY 40219
Jefferson County (502) 221-3932
JENNY AMY HOHMAN LCSW
Social Worker (Clinical)
4112 FERN VALLEY RD
LOUISVILLE, KY 40219
Jefferson County (502) 964-2699
MR. PATRICK OWEN DONAHUE PMHNP-BC
Nurse Practitioner (Psychiatric/Mental Health)
4112 FERN VALLEY RD
LOUISVILLE, KY 40219
Jefferson County (502) 221-3932

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is 4112 Fern Valley Road Ops LLC's NPI number?

The NPI number for 4112 Fern Valley Road Ops LLC is 1124862750. It was assigned to this organization in the NPPES registry on June 19, 2024.

Where is 4112 Fern Valley Road Ops LLC located?

4112 Fern Valley Road Ops LLC is located at 4112 Fern Valley Rd, Louisville, KY 40219. The listed phone number is (502) 964-2699.

What is 4112 Fern Valley Road Ops LLC's specialty?

The primary specialty registered for this NPI is Substance Abuse Rehabilitation Facility with taxonomy code 324500000X.

When was this NPI record last updated?

The NPPES record for 4112 Fern Valley Road Ops LLC was last updated on June 19, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.