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FOREST HILLS COMMONS
NPI 1134733686
Assisted Living Facility in Louisville, KY

Active since September 02, 2020CLIA 18D2118522 · Waiver
9107 TAYLORSVILLE RD, LOUISVILLE, KY 40299(502) 499-5533(502) 313-0299 Get Directions Write a Review

NPPES record last updated: September 25, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 25, 2020, Sep 2, 2020 (2 updates tracked since 2020).

About Forest Hills Commons NPPES

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

FOREST HILLS COMMONS (NPI 1134733686) is a healthcare organization registered as an assisted living facility in Louisville, Kentucky and active in the NPI registry since September 2020. The organization holds a CLIA Waiver certificate valid through September 8, 2026 and lists Steve Van Camp, Cfo Of Asc, as its authorized official.

NPPES Registry Identity

NPI1134733686
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameRESIDENTIAL CARE XII L.L.C.
Location Address9107 TAYLORSVILLE RDLouisville, KY 40299-1751
Mailing Address9107 Taylorsville RdLouisville, KY 40299-1751 · (502) 499-5533 · Fax (502) 313-0299
Phone(502) 499-5533
Fax(502) 313-0299
Organization SubpartNo
Authorized OfficialSteve Van CampCfo Of Asc · (317) 788-2500
Enumeration DateSeptember 2, 2020
Last NPPES UpdateSeptember 25, 20202 updates tracked since enumeration
NPPES CertifiedSeptember 25, 2020
✔ NPI 1134733686 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities
Taxonomy Code310400000X
Definition
A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.
9107 TAYLORSVILLE RD, Louisville, KY 40299
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Other Names 1

Doing Business AsForest Hills Commons

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 18D2118522

Forest Hills Commons · Louisville, KY
Active · expires Sep 8, 2026
CLIA Number18D2118522
Laboratory TypeAssisted Living Facility
Certificate Effective DateSeptember 9, 2024
Certificate Expiration DateSeptember 8, 2026
Laboratory DirectorMr. Matthew D. Long
Laboratory Phone(502) 449-5533
Laboratory LocationForest Hills Commons9107 Taylorsville Rd, Louisville, KY 40299
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

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

AEGIS GROUP PRACTICE LLC
Physical Therapist
9107 TAYLORSVILLE RD
LOUISVILLE, KY 40299
Jefferson County (800) 444-6845

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 Residential Care Xii L.L.C.'s NPI number?

The NPI number for Residential Care Xii L.L.C. is 1134733686. It was assigned to this organization in the NPPES registry on September 2, 2020. The provider is doing business as Forest Hills Commons.

Where is Residential Care Xii L.L.C. located?

Residential Care Xii L.L.C. is located at 9107 Taylorsville Rd, Louisville, KY 40299. The listed phone number is (502) 499-5533.

What is Residential Care Xii L.L.C.'s specialty?

The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.

Does Residential Care Xii L.L.C. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 18D2118522) is associated with this NPI, valid through September 8, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Residential Care Xii L.L.C. was last updated on September 25, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.