Destination Hope, Inc.

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

Legal business name

DESTINATION HOPE, INC.

Practice address

8301 W McNab Rd
Tamarac, FL 33321-3206

Phone

(954) 771-2091

NPI assigned

Jun 13, 2019

Organization subpart

No

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

Authorized official

Name

Amanda Cook

Title

Exec

Phone

(954) 771-2091

Specialties & licenses 3

Addresses

Other identifiers 3

Tax ID family

Destination Hope Inc3 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.

• Destination Hope

  • Substance Abuse Rehabilitation Facility
  • Fort Lauderdale, FL
  • NPI 1811192214
  NPD tax ID
• Destination Hope, Inc.

  • Substance Abuse Rehabilitation Facility
  • Ft Lauderdale, FL
  • NPI 1992261663
  NPD tax ID

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

{
    "created_epoch": "1560384000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1600905600000",
    "number": "1336708262",
    "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"
        },
        {
            "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": "DESTINATION HOPE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-13",
        "last_updated": "2020-09-24",
        "certification_date": "2020-09-24",
        "status": "A",
        "authorized_official_last_name": "COOK",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_title_or_position": "EXEC",
        "authorized_official_telephone_number": "954-771-2091"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DCF RES1",
            "identifier": "1047094",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AHCA",
            "identifier": "8696",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DCF DETOX LIC",
            "identifier": "1047093",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Diahann Alleyne, MD
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• Digestive Disease Associates of South Florida, PA

• Substance Abuse Rehabilitation Facility in Tamarac, FL
• Providers in Tamarac, FL by specialty
• Substance Abuse Rehabilitation Facility in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2020; 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.