Organization Active NPI

Restoration Hope Wellness Center LLC

  • Substance Abuse Rehabilitation Facility
  • Hiram, GA
National Provider Identifier
1336808872
Registry record updated Jul 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
Legal business name
RESTORATION HOPE WELLNESS CENTER LLC
Practice address
107 Enterprise Path Ste 301
Hiram, GA 30141-2690
Phone
(770) 220-7270
NPI assigned
Dec 13, 2021
Last updated
Jul 3, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 3, 2026

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

Authorized official

Name
Kaitlin Harden
Title
Ceo
Phone
(770) 309-9417

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X NU
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X NU
Substance Abuse Rehabilitation Facility 324500000X NU Primary

Addresses

Primary practice location

107 Enterprise Path Ste 301
Hiram, GA 30141-2690

Mailing address

51 Sagemont CT
Acworth, GA 30101-2620

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
11D2309358Restoration Hope Wellness107 Enterprise Path, Suite 301, Hiram, GA 30141Certificate of waiverAug 13, 2026

National Provider Directory

National Provider Directory
Tax ID family
Restoration Hope Wellness Center LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

107 Enterprise Path
Ste 301
Hiram, GA 30141
Phone (706) 509-0130

NPI Registry JSON

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

{
    "created_epoch": "1639353600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1783036800000",
    "number": "1336808872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "51 SAGEMONT CT",
            "city": "ACWORTH",
            "state": "GA",
            "postal_code": "301012620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 ENTERPRISE PATH STE 301",
            "city": "HIRAM",
            "state": "GA",
            "postal_code": "301412690",
            "telephone_number": "770-220-7270"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RESTORATION HOPE WELLNESS CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-13",
        "last_updated": "2026-07-03",
        "certification_date": "2026-07-03",
        "status": "A",
        "authorized_official_last_name": "HARDEN",
        "authorized_official_first_name": "KAITLIN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "770-309-9417"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hiram, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.