HOPE HARBOR WELLNESS LLC
NPI 1992321301
Clinic/Center - Rehabilitation, Substance Use Disorder in Hiram, GA
- Organization
- Clinic/Center
- Rehabilitation, Substance Use Disorder
- CLIA Number: 11D2184658
- CLIA Cert. Type: Independent
- CLIA Exp. Date: 05-21-2028
About HOPE HARBOR WELLNESS LLC
This page provides the complete NPI Profile along with additional information for Hope Harbor Wellness Llc, a provider established in Hiram, Georgia operating as a Clinic/center, focusing in rehabilitation, substance use disorder . The healthcare provider is registered in the NPI registry with number 1992321301 assigned on June 2020. The practitioner's primary taxonomy code is 261QR0405X. The provider is registered as an organization and their NPI record was last updated July 2026. The authorized official of this NPI record is Kaitlin Harden (Ceo)
- NPI
- 1992321301 Verify this NPI
- Provider Name
- HOPE HARBOR WELLNESS LLC
- Entity Type
- Organization
- Location Address
- 126 ENTERPRISE PATH STE 208 HIRAM, GA 30141
- Location Phone
- (770) 782-0184
- Mailing Address
- 51 SAGEMONT CT ACWORTH, GA 30101
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 06-22-2020
- Last Update Date
- 07-03-2026
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Clinic/Center Rehabilitation, Substance Use Disorder
- Taxonomy Code
- 261QR0405X
- Type
- Ambulatory Health Care Facilities
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 261QH0100X | Ambulatory Health Care Facilities | Clinic/Center | |
| 2 | 261QM0850X | Ambulatory Health Care Facilities | Clinic/Center | |
| 3 | 261QM1300X | Ambulatory Health Care Facilities | Clinic/Center | |
| 4 | 324500000X | Residential Treatment Facilities | Substance Abuse Rehabilitation Facility |
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 11D2184658
- Facility Type
- Independent
- Certificate Effective Date
- May 22, 2026
- Certificate Expiration Date
- May 21, 2028
- Laboratory Director
- DARRELL MURRAY
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Hope Harbor Wellness Llc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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Other Providers at the Same Location
The following 2 providers are registered at the same or a nearby location.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1992321301, enumerated as an "organization" on June 22, 2020.
The provider is located at 126 ENTERPRISE PATH STE 208 HIRAM, GA 30141 and the phone number is (770) 782-0184.
Clinic/Center with taxonomy code 261QR0405X and a focus in Rehabilitation, Substance Use Disorder.
