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AVENUES RECOVERY CENTER OF FORT WAYNE, LLC
NPI 1942810551
Community/Behavioral Health in Fort Wayne, IN

Active since August 07, 2020CLIA 15D2186048 · Waiver
2626 FAIRFIELD AVE, FORT WAYNE, IN 46807(260) 235-5900 Get Directions Write a Review

NPPES record last updated: January 5, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jan 5, 2023, Aug 7, 2020 (2 updates tracked since 2020).

About Avenues Recovery Center Of Fort Wayne, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

AVENUES RECOVERY CENTER OF FORT WAYNE, LLC (NPI 1942810551) is a healthcare organization registered as a community/behavioral health in Fort Wayne, Indiana and active in the NPI registry since August 2020. The organization holds a CLIA Waiver certificate valid through June 11, 2028 and lists Hudi Alter, Ceo, as its authorized official.

NPPES Registry Identity

NPI1942810551
Entity TypeOrganization
Primary Taxonomy251S00000X
Legal Business NameAVENUES RECOVERY CENTER OF FORT WAYNE, LLC
Location Address2626 FAIRFIELD AVEFort Wayne, IN 46807-1215
Mailing Address211 Boulevard Of The Americas, Suite 503Lakewood, NJ 08701 · (732) 967-2635
Phone(260) 235-5900
Organization SubpartNo
Authorized OfficialHudi AlterCeo · (732) 967-2635
Enumeration DateAugust 7, 2020
Last NPPES UpdateJanuary 5, 20232 updates tracked since enumeration
NPPES CertifiedJanuary 5, 2023
✔ NPI 1942810551 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyCommunity/Behavioral HealthAgencies
Taxonomy Code251S00000X
Definition
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
Also ListedClinic/Center · Rehabilitation, Substance Use DisorderTaxonomy 261QR0405X
Also ListedSubstance Abuse Rehabilitation FacilityTaxonomy 324500000X
2626 FAIRFIELD AVE, Fort Wayne, IN 46807
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CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 15D2186048

Avenues Recovery Center Of Fort Wayne, LLC · Fort Wayne, IN
Active · expires Jun 11, 2028
CLIA Number15D2186048
Laboratory TypeAddiction Treatment Provi
Certificate Effective DateJune 12, 2026
Certificate Expiration DateJune 11, 2028
Laboratory DirectorWhitney Kirkland
Laboratory Phone(260) 235-5900
Laboratory LocationAvenues Recovery Center Of Fort Wayne, LLC2626 Fairfield Avenue, Fort Wayne, IN 46807
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

AVENUES RECOVERY CENTER OF FORT WAYNE, LLC
Substance Abuse Rehabilitation Facility
2626 FAIRFIELD AVE
FORT WAYNE, IN 46807
Allen County (732) 307-8000
SALONDA HAWKINS NP
Nurse Practitioner (Family)
2626 FAIRFIELD AVE
FORT WAYNE, IN 46807
Allen County (260) 638-7267
AVENUES RECOVERY CENTER OF FORT WAYNE, LLC
Clinic/Center (Rehabilitation, Substance Use Disorder)
2626 FAIRFIELD AVE
FORT WAYNE, IN 46807
Allen County (732) 967-2635
TIERNARY BROOKS NP
Nurse Practitioner
2626 FAIRFIELD AVE
FORT WAYNE, IN 46807
Allen County (260) 235-5900

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Avenues Recovery Center Of Fort Wayne, LLC's NPI number?

The NPI number for Avenues Recovery Center Of Fort Wayne, LLC is 1942810551. It was assigned to this organization in the NPPES registry on August 7, 2020.

Where is Avenues Recovery Center Of Fort Wayne, LLC located?

Avenues Recovery Center Of Fort Wayne, LLC is located at 2626 Fairfield Ave, Fort Wayne, IN 46807. The listed phone number is (260) 235-5900.

What is Avenues Recovery Center Of Fort Wayne, LLC's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

Does Avenues Recovery Center Of Fort Wayne, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 15D2186048) is associated with this NPI, valid through June 11, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Avenues Recovery Center Of Fort Wayne, LLC was last updated on January 5, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.