CONSECRATED CARE INC
NPI 1336619220
Clinic/Center - Rehabilitation, Substance Use Disorder in Riverdale, GA

Active since December 04, 2018CLIA 11D1042598 · Waiver
253 UPPER RIVERDALE RD SW STE C, RIVERDALE, GA 30274(770) 472-9110 Get Directions Write a Review

NPPES record last updated: September 26, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 21, 2025, Dec 4, 2018 (2 updates tracked since 2018).

About Consecrated Care Inc NPPES

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

CONSECRATED CARE INC (NPI 1336619220) is a healthcare organization registered as a rehabilitation, substance use disorder in Riverdale, Georgia and active in the NPI registry since December 2018. The organization holds a CLIA Waiver certificate valid through July 4, 2027 and lists Tashawnka Madgett, Ceo, as its authorized official.

NPPES Registry Identity

NPI1336619220
Entity TypeOrganization
Primary Taxonomy261QR0405X
Legal Business NameCONSECRATED CARE INC
Location Address253 UPPER RIVERDALE RD SW STE CRiverdale, GA 30274-4945
Mailing Address253 Upper Riverdale Rd Sw Ste CRiverdale, GA 30274-4945 · (770) 472-9110
Organization SubpartNo
Authorized OfficialTashawnka MadgettCeo · (678) 862-2020
Enumeration DateDecember 4, 2018
Last NPPES UpdateSeptember 26, 20252 updates tracked since enumeration
NPPES CertifiedSeptember 26, 2025
NPI 1336619220 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Rehabilitation, Substance Use DisorderAmbulatory Health Care Facilities
Taxonomy Code261QR0405X
253 UPPER RIVERDALE RD SW STE C, Riverdale, GA 30274

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 11D1042598

Consecrated Care Incorporated · Jonesboro, GA
Active · expires Jul 4, 2027
CLIA Number11D1042598
Laboratory TypeComp. Outpatient Rehab Facility
Certificate Effective DateJuly 5, 2025
Certificate Expiration DateJuly 4, 2027
Laboratory DirectorAlfred Houston Junior
Laboratory Phone(770) 472-9110
Laboratory LocationConsecrated Care Incorporated217 Arrowhead Boulevard, Suite B 1, Jonesboro, GA 30236
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Psychiatric Unit
253 UPPER RIVERDALE RD SW STE C
RIVERDALE, GA 30274

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 Consecrated Care Inc's NPI number?

The NPI number for Consecrated Care Inc is 1336619220. It was assigned to this organization in the NPPES registry on December 4, 2018.

Where is Consecrated Care Inc located?

Consecrated Care Inc is located at 253 Upper Riverdale Rd SW Ste C, Riverdale, GA 30274. The listed phone number is (770) 472-9110.

What is Consecrated Care Inc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rehabilitation, Substance Use Disorder, with taxonomy code 261QR0405X.

Does Consecrated Care Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 11D1042598) is associated with this NPI, valid through July 4, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Consecrated Care Inc was last updated on September 26, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months 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.