REGARD RECOVERY RESIDENTIAL TREATMENT OF FLORIDA LLC NPI 1508448663

NPI Information

NPI: 1508448663
Provider Name: REGARD RECOVERY RESIDENTIAL TREATMENT OF FLORIDA, LLC
Classification: Clinic/Center - 261QR0405X
Specialization: Rehabilitation, Substance Use Disorder
Entity Type: Organization
Doing Business As: DESTINATION HOPE
CLIA Number: 10D1084597
Address: 555 SW 12TH AVE STE 110
POMPANO BEACH, FL
ZIP 33069
Phone: (570) 332-3060

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NPI Details

REGARD RECOVERY RESIDENTIAL TREATMENT OF FLORIDA, LLC is a rehabilitation and substance use disorder clinic center in Pompano Beach, FL. REGARD RECOVERY RESIDENTIAL TREATMENT OF FLORIDA, LLC NPI is 1508448663. The provider is registered as an organization entity type.
The provider Is Doing Business As Destination Hope.

The provider's business location address is:

555 SW 12TH AVE STE 110
POMPANO BEACH, FL
ZIP 33069-595
Phone: (570) 332-3060

The provider's authorized official is Lisa Micheletti .
The authorized official title is Executive Director and has the following contact phone number (570) 332-3060.

The CLIA number assigned to this NPI record is 10D1084597 - other - residential treatment with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/27/2021 and was last updated on 10/12/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QM0850X	Clinic/Center	Adult Mental Health			No
2	261QR0405X	Clinic/Center	Rehabilitation, Substance Use Disorder			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	1047725	OTHER	FLORIDA	DCF - OP
2	1047729	OTHER	FLORIDA	DCF - DAY OR NIGHT TREATMENT WITH COMMUNITY HOUSING
3	1047728	OTHER	FLORIDA	DCF - IOP

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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