MEDICARE: RAVENWOOD RECOVERY LTD

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	251S00000X	Community/Behavioral Health Agency

General Provider Information

NPI Number	:	1821956509
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	RAVENWOOD RECOVERY LTD

Provider Business Mailing Address
First Line	:	455 N SHERMAN ST STE 120
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80203-4403
Country	:	US
Telephone Number	:	720-965-2944
Fax Number	:

Provider Business Practice Location Address
First Line	:	1974 MACON ST
Second Line	:
City	:	AURORA
State	:	CO
Zip	:	80010-2540
Country	:	US
Telephone Number	:	720-965-2944
Fax Number	:

Authorized Official
Title or Position	:	FOUNDER
Name	:	MRS. TRACY ANNE GILBERT
Credential	:	FOUNDER
Telephone Number	:	720-965-2944

Provider Enumeration Date	:	01/12/2026
Last Update Date	:	01/12/2026

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Directions to “RAVENWOOD RECOVERY LTD ” Practice Location

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