NPIMap

Organization Active NPI

Avenues Recovery Center of Fort Wayne, LLC

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Fort Wayne, IN
National Provider Identifier
1689532475
Registry record updated Jan 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X
Legal business name
AVENUES RECOVERY CENTER OF FORT WAYNE, LLC
Practice address
2626 Fairfield Ave
Fort Wayne, IN 46807-1215
Phone
(732) 967-2635
NPI assigned
Jan 12, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Hudi Alter
Title
Ceo
Phone
(732) 967-2635

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X Primary

Addresses

Primary practice location

2626 Fairfield Ave
Fort Wayne, IN 46807-1215

Mailing address

211 Boulevard of the Americas
Suite 503
Lakewood, NJ 08701

National Provider Directory

National Provider Directory
Tax ID family
Avenues Recovery Center of Fort Wayne LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1768176000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1768176000000",
    "number": "1689532475",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "211 BOULEVARD OF THE AMERICAS",
            "address_2": "SUITE 503",
            "city": "LAKEWOOD",
            "state": "NJ",
            "postal_code": "08701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2626 FAIRFIELD AVE",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468071215",
            "telephone_number": "732-967-2635"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AVENUES RECOVERY CENTER OF FORT WAYNE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-01-12",
        "last_updated": "2026-01-12",
        "certification_date": "2026-01-09",
        "status": "A",
        "authorized_official_last_name": "ALTER",
        "authorized_official_first_name": "HUDI",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "732-967-2635"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Wayne, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.