Regard Recovery Residential Treatment of Florida, LLC

Primary specialty

Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X

Legal business name

REGARD RECOVERY RESIDENTIAL TREATMENT OF FLORIDA, LLC

Practice address

555 SW 12TH Ave Ste 110
Pompano Beach, FL 33069-3595

Phone

(570) 332-3060

NPI assigned

Apr 27, 2021

Organization subpart

No

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

Authorized official

Name

Lisa Micheletti, LMHCNPI 1386343143

Title

Executive Director

Phone

(570) 332-3060

Specialties & licenses 2

Addresses

Other identifiers 3

Other names 1

• Destination Hope Doing business as

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.

• Regard Recovery Residential Treatment of Florida, LLC

  • Substance Abuse Rehabilitation Facility
  • Tamarac, FL
  • NPI 1043892110
  NPD tax ID

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Lisa Micheletti, LMHC

  • Mental Health Counselor
  • Hollywood, FL
  • NPI 1386343143
  NPD (past) Authorized official
• Bridgette Marie Fong

  • Mental Health Counselor
  • Tamarac, FL
  • NPI 1023649092
  NPD (past)

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": "1508448663",
    "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": "555 SW 12TH AVE STE 110",
            "city": "POMPANO BEACH",
            "state": "FL",
            "postal_code": "330693595",
            "telephone_number": "570-332-3060"
        }
    ],
    "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": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DCF - OP",
            "identifier": "1047725",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DCF - DAY OR NIGHT TREATMENT WITH COMMUNITY HOUSING",
            "identifier": "1047729",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DCF - IOP",
            "identifier": "1047728",
            "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"
        }
    ]
}

• Angela Marie Recker
• Recovery for Life Treatment and Wellness Center LLC
• Kennedy Ray Reddick Jr.
• Redemption Recovery, LLC
• Millanee Yvonne Reed, MSP
• Regional Diagnostics, LLC
• Rehab After Work of Florida, LLC
• Cynthia Leblanc Rehman, LPN
• Melanie M Reid
• Sasha Reid

• Substance Use Disorder Rehabilitation Clinic/Center in Pompano Beach, FL
• Providers in Pompano Beach, FL by specialty
• Substance Use Disorder Rehabilitation Clinic/Center in Florida

• 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.