4112 Fern Valley Road Ops LLC

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

Legal business name

4112 FERN VALLEY ROAD OPS LLC

Practice address

4112 Fern Valley Rd
Louisville, KY 40219-1973

Phone

(502) 964-2699

Fax

(833) 728-0420

NPI assigned

Jun 19, 2024

Last updated

Jun 19, 2024By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Alicia Neal

Title

Manager, Cred & Contracting

Phone

(615) 281-9050

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1718755200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718755200000",
    "number": "1124862750",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "133 HOLIDAY CT STE 102",
            "city": "FRANKLIN",
            "state": "TN",
            "postal_code": "370671386",
            "telephone_number": "615-281-9050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4112 FERN VALLEY RD",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402191973",
            "telephone_number": "502-964-2699",
            "fax_number": "833-728-0420"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "4112 FERN VALLEY ROAD OPS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-19",
        "last_updated": "2024-06-19",
        "certification_date": "2024-06-19",
        "status": "A",
        "authorized_official_last_name": "NEAL",
        "authorized_official_first_name": "ALICIA",
        "authorized_official_title_or_position": "MANAGER, CRED & CONTRACTING",
        "authorized_official_telephone_number": "615-281-9050"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• 3PL Project Purchase Planning Logistics Inc (3PL Transportation)
• 3Rd Street Family Dental
• 4 Kings Medical Transportation LLC
• 4 Kings Transportation
• 4 Star Guidance LLC
• 4418 Malcolm Avenue Ops LLC
• 4Urhart, Inc Dba Home Helpers Home Care #58600 (Home Helpers of Louisville)
• 502 Eye Care LLC
• 502 Medical Transportation LLC
• 502 Sobriety Soldiers LLC

• Substance Abuse Rehabilitation Facility in Louisville, KY
• Providers in Louisville, KY by specialty
• Substance Abuse Rehabilitation Facility in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2024; 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.