Active NPI
Hooked on Hope LLC
- Substance Use Disorder Rehabilitation Clinic/Center
- Hiram, GA
National Provider Identifier
1992402531
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Substance Use Disorder Rehabilitation Clinic/Center
- Legal business name
- HOOKED ON HOPE LLC
- Practice address
- 126 Enterprise Path Ste 207
Hiram, GA 30141-2654 - Phone
- (678) 961-0958
- NPI assigned
- Feb 14, 2023
- Last updated
- Jul 3, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Andrew Widota
- Title
- Coo
- Phone
- (609) 480-9853
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | |||
| Adult Mental Health Clinic/Center | 261QM0850X | |||
| Substance Use Disorder Rehabilitation Clinic/Center | 261QR0405X | Primary | ||
| Substance Abuse Rehabilitation Facility | 324500000X |
Addresses
Primary practice location
126 Enterprise Path Ste 207
Hiram, GA 30141-2654
Mailing address
51 Sagemont CT
Acworth, GA 30101-2620
Phone (770) 309-9417
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 11D2276512 | Hooked on Hope, LLC | Certificate of waiver | Feb 8, 2027 |
National Provider Directory
National Provider DirectoryLocations
126 Enterprise Path
Ste 207
Hiram, GA 30141
Phone (609) 480-9853
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1676332800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1783036800000",
"number": "1992402531",
"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",
"telephone_number": "770-309-9417"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "126 ENTERPRISE PATH STE 207",
"city": "HIRAM",
"state": "GA",
"postal_code": "301412654",
"telephone_number": "678-961-0958"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HOOKED ON HOPE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-02-14",
"last_updated": "2026-07-03",
"certification_date": "2026-07-03",
"status": "A",
"authorized_official_last_name": "WIDOTA",
"authorized_official_first_name": "ANDREW",
"authorized_official_title_or_position": "COO",
"authorized_official_telephone_number": "609-480-9853"
},
"taxonomies": [
{
"code": "261QM0801X",
"taxonomy_group": "",
"desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QM0850X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adult Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QR0405X",
"taxonomy_group": "",
"desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
"state": null,
"license": null,
"primary": true
},
{
"code": "324500000X",
"taxonomy_group": "",
"desc": "Substance Abuse Rehabilitation Facility",
"state": null,
"license": null,
"primary": false
}
],
"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.