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ILLUM RESIDENTIAL CARE, INC.
NPI 1033943949
Home Health in Mcdonough, GA

Active since September 02, 2024
625 MOORINGS AVE, MCDONOUGH, GA 30253(470) 476-9527 Get Directions Write a Review

NPPES record last updated: September 2, 2024. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Illum Residential Care, Inc. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ILLUM RESIDENTIAL CARE, INC. (NPI 1033943949) is a healthcare organization registered as a home health in Mcdonough, Georgia and active in the NPI registry since September 2024. The organization lists Raven Pittman, Chief Financial Officer, as its authorized official.

NPPES Registry Identity

NPI1033943949
Entity TypeOrganization
Primary Taxonomy251E00000X
Legal Business NameILLUM RESIDENTIAL CARE, INC.
Location Address625 MOORINGS AVEMcdonough, GA 30253-5613
Mailing Address625 Moorings AveMcdonough, GA 30253-5613 · (470) 476-9527
Phone(470) 476-9527
Organization SubpartNo
Authorized OfficialRaven PittmanChief Financial Officer · (470) 476-9527
Enumeration DateSeptember 2, 2024
NPPES CertifiedSeptember 2, 2024
✔ NPI 1033943949 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

★ Primary SpecialtyHome HealthAgencies
Taxonomy Code251E00000X
Definition
A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.
Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X
Also ListedMealsTaxonomy 174200000X
Also ListedTransportation Network CompanyTaxonomy 342000000X
625 MOORINGS AVE, Mcdonough, GA 30253
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Illum Residential Care, Inc.'s NPI number?

The NPI number for Illum Residential Care, Inc. is 1033943949. It was assigned to this organization in the NPPES registry on September 2, 2024.

Where is Illum Residential Care, Inc. located?

Illum Residential Care, Inc. is located at 625 Moorings Ave, Mcdonough, GA 30253. The listed phone number is (470) 476-9527.

What is Illum Residential Care, Inc.'s specialty?

The primary specialty registered for this NPI is Home Health with taxonomy code 251E00000X.

When was this NPI record last updated?

The NPPES record for Illum Residential Care, Inc. was last updated on September 2, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.