4418 Malcolm Avenue Ops LLC

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

Legal business name

4418 MALCOLM AVENUE OPS LLC

Practice address

4418 Malcolm Ave
Louisville, KY 40215-1122

Phone

(502) 713-7017

Fax

(833) 792-1347

NPI assigned

Jun 19, 2024

Last updated

May 22, 2026By 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

Director of Managed Care

Phone

(629) 257-8260

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": "1779408000000",
    "number": "1801630512",
    "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": "629-257-8260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4418 MALCOLM AVE",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402151122",
            "telephone_number": "502-713-7017",
            "fax_number": "833-792-1347"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4419 LaSalle Avenue",
            "address_purpose": "LOCATION",
            "city": "Louisville",
            "state": "KY",
            "postal_code": "402151122",
            "country_code": "US",
            "telephone_number": "855-950-5035",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "4418 MALCOLM AVENUE OPS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-19",
        "last_updated": "2026-05-22",
        "certification_date": "2026-05-22",
        "status": "A",
        "authorized_official_last_name": "NEAL",
        "authorized_official_first_name": "ALICIA",
        "authorized_official_title_or_position": "DIRECTOR OF MANAGED CARE",
        "authorized_official_telephone_number": "629-257-8260"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2026; 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.