MEDICARE: AVENUES RECOVERY CENTER AT FORT COLLINS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QR0405X	Substance Use Disorder Rehabilitation Clinic/Center
2	324500000X	Substance Abuse Rehabilitation Facility

General Provider Information

NPI Number	:	1760371777
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AVENUES RECOVERY CENTER AT FORT COLLINS

Provider Business Mailing Address
First Line	:	211 BOULEVARD OF THE AMERICAS
Second Line	:	SUITE 503
City	:	LAKEWOOD
State	:	NJ
Zip	:	08701
Country	:	US
Telephone Number	:	732-967-2635
Fax Number	:

Provider Business Practice Location Address
First Line	:	4880 ZIEGLER RD
Second Line	:
City	:	FORT COLLINS
State	:	CO
Zip	:	80528-9007
Country	:	US
Telephone Number	:	732-967-2635
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	HUDI ALTER
Credential	:
Telephone Number	:	732-967-2635

Provider Enumeration Date	:	07/02/2025
Last Update Date	:	12/03/2025

Similar Medicare Providers

1609410380 — CENTER AT ROCK CREEK, LLC
Practice Location Address:

4880 ZIEGLER RD
FORT COLLINS, CO
80528-9007

Practice Phone: 970-223-4376
Practice Fax: 970-223-1784

1790485373 — INGRID M BRUMMET, LLC
Practice Location Address:

4880 ZIEGLER RD
FORT COLLINS, CO
80528-9007

Practice Phone: 888-948-6789
Practice Fax: 877-345-3501

1710432513 — CATHY VENEGAS CERDA
Practice Location Address:

7824 LANDERS LN
FORT WORTH, TX
76135-9007

Practice Phone: 214-587-4994
Practice Fax:

1629650957 — QUOWANDA LA'KECIA FORD BROWN RN
Practice Location Address:

723 NW 2ND ST
FORT LAUDERDALE, FL
33311-9007

Practice Phone: 954-809-4157
Practice Fax:

1801664073 — CERDA PEDIATRIC & NEURO PHYSICAL THERAPY PLLC
Practice Location Address:

7824 LANDERS LN
FORT WORTH, TX
76135-9007

Practice Phone: 214-587-4994
Practice Fax:

1962382267 — DANIELLE NICOLE MILLER OT
Practice Location Address:

7824 LANDERS LN
FORT WORTH, TX
76135-9007

Practice Phone: 682-747-6795
Practice Fax:

Directions to “AVENUES RECOVERY CENTER AT FORT COLLINS ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.