DESTINATION HOPE NPI 1811192214

NPI Information

NPI: 1811192214
Provider Name: DESTINATION HOPE
Classification: Substance Abuse Rehabilitation Facility - 324500000X
Entity Type: Organization
Address: 6460 NW 5TH WAY
SUITES 6458, 6456, 6454
FORT LAUDERDALE, FL
ZIP 33309
Phone: (954) 771-2091

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NPI Details

DESTINATION HOPE is a substance abuse rehabilitation facility in Fort Lauderdale, FL. The provider is a facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. DESTINATION HOPE NPI is 1811192214. The provider is registered as an organization entity type.

The provider's business location address is:

6460 NW 5TH WAY
SUITES 6458, 6456, 6454
FORT LAUDERDALE, FL
ZIP 33309-112
Phone: (954) 771-2091
Fax: (954) 771-2098

The provider's authorized official is Benjamin B Brafman .
The authorized official title is President and has the following contact phone number (954) 771-2091.

The enumeration date for this NPI number is 6/18/2007 and was last updated on 7/21/2022.

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	324500000X	Substance Abuse Rehabilitation Facility		1706AD588401	FLORIDA	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	1045134	OTHER	FLORIDA	DCF D/N LIC
2	1045136	OTHER	FLORIDA	DCF IOP
3	1045135	OTHER	FLORIDA	DCF OP

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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