4418 MALCOLM AVENUE OPS LLC
NPI 1801630512
Substance Abuse Rehabilitation Facility in Louisville, KY

Active since June 19, 2024
4418 MALCOLM AVE, LOUISVILLE, KY 40215(502) 713-7017(833) 792-1347 Get Directions Write a Review

NPPES record last updated: May 22, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: May 22, 2026, Apr 16, 2026, Jun 19, 2024 (3 updates tracked since 2024).

  • Organization
  • Substance Abuse Rehabilitation Facility

About 4418 MALCOLM AVENUE OPS LLC

This page provides the complete NPI Profile along with additional information for 4418 Malcolm Avenue Ops Llc, a provider established in Louisville, Kentucky operating as a Substance Abuse Rehabilitation Facility. The healthcare provider is registered in the NPI registry with number 1801630512 assigned on June 2024. The practitioner's primary taxonomy code is 324500000X. The provider is registered as an organization and their NPI record was last updated May 2026. The authorized official of this NPI record is Alicia Neal (Director Of Managed Care)

NPI
1801630512 Verify this NPI
Provider Name
4418 MALCOLM AVENUE OPS LLC
Entity Type
Organization
Location Address
4418 MALCOLM AVE LOUISVILLE, KY 40215
Location Phone
(502) 713-7017
Location Fax
(833) 792-1347
Mailing Address
133 HOLIDAY CT STE 102 FRANKLIN, TN 37067
Mailing Phone
(629) 257-8260
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
06-19-2024
Last Update Date
05-22-2026
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Location Map

Secondary Locations

  • 4419 LaSalle Avenue
    Louisville, KY 40215
    (855) 950-5035

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Substance Abuse Rehabilitation Facility

Taxonomy Code
324500000X
Type
Residential Treatment Facilities
Taxonomy Description
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.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

ALICIA NEAL

Authorized Official Title
DIRECTOR OF MANAGED CARE
Authorized Official Phone
(629) 257-8260

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Other Providers at the Same Location


The following 4 providers are registered at the same or a nearby location.

Substance Abuse Rehabilitation Facility
4418 MALCOLM AVE
LOUISVILLE, KY 40215
Nurse Practitioner (Psychiatric/Mental Health)
4418 MALCOLM AVE
LOUISVILLE, KY 40215
Social Worker
4418 MALCOLM AVE
LOUISVILLE, KY 40215
Substance Abuse Rehabilitation Facility
4418 MALCOLM AVE
LOUISVILLE, KY 40215

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1801630512, enumerated as an "organization" on June 19, 2024.

The provider is located at 4418 MALCOLM AVE LOUISVILLE, KY 40215 and the phone number is (502) 713-7017.

Substance Abuse Rehabilitation Facility with taxonomy code 324500000X.