Active NPI
Regard Recovery Residential Treatment of Florida, LLC
Doing business as Destination Hope
- Substance Abuse Rehabilitation Facility
- Tamarac, FL
National Provider Identifier
1043892110
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Substance Abuse Rehabilitation Facility
- 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, 2023
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1047726 | Other | FL | DCF - RES 1 |
| 8696 | Other | FL | AHCA |
| 1047727 | Other | FL | DCF - INPATIENT DETOX |
Other names 1
- Destination Hope
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 10D1084597 | Regard Recovery Residential Treatment of FL LLC | Certificate of waiver | Feb 19, 2027 |
National Provider Directory
National Provider Directory- Tax ID family
- Destination Hope
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
dba Destination Hope
- Substance Use Disorder Rehabilitation Clinic/Center
- Pompano Beach, FL
- NPI 1508448663
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.