NPIMap

Organization Active NPI

Destination Hope, Inc.

  • Substance Abuse Rehabilitation Facility
  • Ft Lauderdale, FL
National Provider Identifier
1992261663
Registry record updated May 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
Legal business name
DESTINATION HOPE, INC.
Practice address
6555 NW 9TH Ave Ste 311
Ft Lauderdale, FL 33309-2050
Phone
(954) 771-2091
Fax
(954) 771-2098
NPI assigned
Feb 18, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 20, 2020

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

Authorized official

Name
Cynthia Wisdom
Title
Cfo
Phone
(954) 771-2091

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X
Substance Abuse Rehabilitation Facility 324500000X Primary

Addresses

Primary practice location

6555 NW 9TH Ave Ste 311
Ft Lauderdale, FL 33309-2050

Mailing address

6555 NW 9TH Ave Ste 112
Ft Lauderdale, FL 33309-2048
Phone (954) 771-2091

National Provider Directory

National Provider Directory
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.

NPI Registry JSON

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

{
    "created_epoch": "1550448000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1589932800000",
    "number": "1992261663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6555 NW 9TH AVE STE 112",
            "city": "FT LAUDERDALE",
            "state": "FL",
            "postal_code": "333092048",
            "telephone_number": "954-771-2091",
            "fax_number": "954-771-2098"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6555 NW 9TH AVE STE 311",
            "city": "FT LAUDERDALE",
            "state": "FL",
            "postal_code": "333092050",
            "telephone_number": "954-771-2091",
            "fax_number": "954-771-2098"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DESTINATION HOPE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-18",
        "last_updated": "2020-05-20",
        "certification_date": "2020-05-20",
        "status": "A",
        "authorized_official_last_name": "WISDOM",
        "authorized_official_first_name": "CYNTHIA",
        "authorized_official_title_or_position": "CFO",
        "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": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ft Lauderdale, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 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.