Organization Active NPI

Regard Recovery Residential Treatment of Florida, LLC

Doing business as Destination Hope

  • Substance Abuse Rehabilitation Facility
  • Tamarac, FL
National Provider Identifier
1043892110
Registry record updated Oct 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
Legal business name
REGARD RECOVERY RESIDENTIAL TREATMENT OF FLORIDA, LLC
Doing business as
Destination Hope
Practice address
8301 W McNab Rd
Tamarac, FL 33321-3206
Phone
(954) 771-2091
NPI assigned
Apr 27, 2021
Last updated
Oct 12, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2023

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

Authorized official

Name
Lisa Micheletti, LMHC
Title
Executive Director
Phone
(570) 332-3060

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X NU
Mental Illness Community Based Residential Treatment Facility 320800000X NU
Substance Abuse Rehabilitation Facility 324500000X NU Primary

Addresses

Primary practice location

8301 W McNab Rd
Tamarac, FL 33321-3206

Mailing address

6460 NW 5TH Way
Fort Lauderdale, FL 33309-6112
Phone (954) 771-2091

Other identifiers 3

IdentifierTypeStateIssuer
1047726OtherFLDCF - RES 1
8696OtherFLAHCA
1047727OtherFLDCF - INPATIENT DETOX

Other names 1

  • Destination Hope Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D1084597Regard Recovery Residential Treatment of FL LLC8301 West McNab Road, Tamarac, FL 33321Certificate of waiverFeb 19, 2027

National Provider Directory

National Provider Directory
Tax ID family
Destination Hope2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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": "1619481600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1697068800000",
    "number": "1043892110",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6460 NW 5TH WAY",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333096112",
            "telephone_number": "954-771-2091"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8301 W MCNAB RD",
            "city": "TAMARAC",
            "state": "FL",
            "postal_code": "333213206",
            "telephone_number": "954-771-2091"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REGARD RECOVERY RESIDENTIAL TREATMENT OF FLORIDA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-27",
        "last_updated": "2023-10-12",
        "certification_date": "2023-09-25",
        "status": "A",
        "authorized_official_last_name": "MICHELETTI",
        "authorized_official_first_name": "LISA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "570-332-3060",
        "authorized_official_credential": "LMHC"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DCF - RES 1",
            "identifier": "1047726",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AHCA",
            "identifier": "8696",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DCF - INPATIENT DETOX",
            "identifier": "1047727",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Destination Hope",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Destination Hope",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tamarac, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.