Organization Active NPI

A Destiny to Recovery

  • Community/Behavioral Health Agency
  • Clermont, FL
National Provider Identifier
1770034001
Registry record updated Nov 1, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
A DESTINY TO RECOVERY
Practice address
1184 S Grand Hwy
Clermont, FL 34711-3203
Phone
(352) 708-4126
Fax
(352) 708-8291
NPI assigned
Oct 21, 2016
Last updated
Nov 1, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2016

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

Authorized official

Name
Mr. Abdul Waheed Khan
Title
Owner
Phone
(352) 708-4126

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X FL Primary

Addresses

Primary practice location

1184 S Grand Hwy
Clermont, FL 34711-3203

Mailing address

1184 S Grand Hwy
Clermont, FL 34711-3203
Phone (352) 708-4126

National Provider Directory

National Provider Directory

Locations

1184 S Grand Hwy
Clermont, FL 34711
Phone (352) 708-4126

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1477008000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1477958400000",
    "number": "1770034001",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1184 S GRAND HWY",
            "city": "CLERMONT",
            "state": "FL",
            "postal_code": "347113203",
            "telephone_number": "352-708-4126",
            "fax_number": "352-708-8291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1184 S GRAND HWY",
            "city": "CLERMONT",
            "state": "FL",
            "postal_code": "347113203",
            "telephone_number": "352-708-4126",
            "fax_number": "352-708-8291"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "A DESTINY TO RECOVERY",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-21",
        "last_updated": "2016-11-01",
        "status": "A",
        "authorized_official_last_name": "KHAN",
        "authorized_official_first_name": "ABDUL",
        "authorized_official_middle_name": "WAHEED",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "352-708-4126",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clermont, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2016; 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.