4112 FERN VALLEY ROAD OPS LLC – NPI #1124862750
Substance Abuse Rehabilitation Facility

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.

Health Care Provider Taxonomy Code for Substance Abuse Rehabilitation Facility

4112 FERN VALLEY ROAD OPS LLC is a substance abuse rehabilitation facility located in LOUISVILLE, KY. NPPES has assigned the NPI number 1124862750 to 4112 FERN VALLEY ROAD OPS LLC on June 19, 2024. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 324500000X from the Health Care Provider Taxonomy code set, which is classified as Substance Abuse Rehabilitation Facility.

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for 4112 FERN VALLEY ROAD OPS LLC below.

NPI Profile for
4112 FERN VALLEY ROAD OPS LLC

NPI Number
1124862750
Enumeration Date

(about 2 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
4112 FERN VALLEY ROAD OPS LLC
Primary location
4112 FERN VALLEY RD
LOUISVILLE, KY 40219-1973
Phone: (502) 964-2699 Fax: (833) 728-0420
Mailing address
133 HOLIDAY CT STE 102
FRANKLIN, TN 37067-1386
Phone: (615) 281-9050 Fax:
Organization Subpart
No
Authorized Official
ALICIA NEAL
MANAGER, CRED & CONTRACTING
Phone: (615) 281-9050
Updated
Certification Date
Jun 19, 2024

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
324500000X
- Substance Abuse Rehabilitation Facility (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.