OrganizationActive
4418 Malcolm Avenue Ops LLC
NPI 1801630512 · Substance Abuse Rehabilitation Facility · Louisville, KY
Provider details
- NPI number
- 1801630512
- Entity type
- Organization
- Primary specialty
- Substance Abuse Rehabilitation FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Alicia Neal, Director of Managed Care(629) 257-8260
Specialties & taxonomies
Residential Treatment Facilities
Practice location
4418 Malcolm Ave
Louisville, KY 40215-1122
Phone: (502) 713-7017
Fax: (833) 792-1347
Approximate (ZIP-level) locationGet directions
Mailing address
133 Holiday Ct Ste 102
Franklin, TN 37067-1386
Additional practice locations (1)
- 4419 Lasalle AvenueLouisville, KY 40215-1122Phone: (855) 950-5035
Registry dates
- Enumerated
- 2024-06-19
- Last updated
- 2026-05-22
- Certified
- 2026-05-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.