Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

4112 Fern Valley Road Ops LLC

Organization Substance Abuse Rehabilitation Facility · NPI 1124862750

4112 Fern Valley Road Ops LLC is a Substance Abuse Rehabilitation Facility in Louisville, Kentucky. Registered with an NPI since 2024.

In the registry since
2024
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

4112 Fern Valley Rd
Louisville, KY 40219-1973
Phone: (502) 964-2699
Fax: (833) 728-0420
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Substance Abuse Rehabilitation Facility (primary) Taxonomy 324500000X

Record details

NPI number1124862750
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Alicia Neal — Manager, Cred & Contracting · (615) 281-9050
NPI enumeratedJune 19, 2024
Last updated in NPPESJune 19, 2024
Certification dateJune 19, 2024
Mailing address133 Holiday Ct Ste 102, Franklin, TN 37067-1386

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