NPI Database
Lookup NPI Numbers from the NPI Registry

Contact Information

ILLUM RESIDENTIAL CARE, INC.
625 MOORINGS AVE
MCDONOUGH, GA30253-5613
 Phone: 470-476-9527
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Home Health

251E00000X A4[11] Home Health Agency
 

Addiction (Substance Use Disorder)

101YA0400X
 

Meals

174200000X
 

Mental Health

101YM0800X
 

Transportation Network Company

342000000X
Indicates primary specialty

NPI Profile & details for ILLUM RESIDENTIAL CARE, INC.

NPI # 1033943949
LBN Legal business name ILLUM RESIDENTIAL CARE, INC.
Authorized official RAVEN PITTMAN - (CHIEF FINANCIAL OFFICER)
Entity Organization
Organization subpart 1 No
Enumeration date 09/02/2024
Last updated 09/02/2024 - More than a year ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

Reviews for ILLUM RESIDENTIAL CARE, INC.

Thanks - Your review has been submitted! Please note that if we find that this review has violated our terms or is simply deemed unacceptable, we will remove it without notice.

There are currently no reviews for ILLUM RESIDENTIAL CARE, INC.
Be the first to post a comment or review.


Read our reviews / comments about this provider to help you decide if they are right for you. Share your experience by posting a comment or review about this provider to help others decide which is right for them.

Nearby Agencies
ARKANGELS HOMECARE SERVICES, INC.
9411 S MAIN STE STE D
JONESBORO, GA
DANIEL A SERRITELLA, PHD LMFT
172 NORTH AVE
JONESBORO, GA
RICE ADULT CARE LLC
1775 PARKER RD BUILDING C SUITE 210
CONYERS, GA
YVEROSE DE ST PIERRE
175 KIRKLAND RD.
COVINGTON, GA
DELHIA ASSANAH III, NCC, APC
101 KIRKLAND ROAD
COVINGTON, GA
LAKEBA H WILLIAMS, LPC
4147 FLAT SHOALS PKWY
DECATUR, GA
DOMINIQUE S PAUL THOMPSON
112 DEERCREEK PARKWAY
GRIFFIN, GA
ANNE MARIE COOK, LPC
115 HABERSHAM DR
FAYETTEVILLE, GA
TYISHA S SCOTT, M.ED
110 HABERSHAM DRIVE
FAYETTEVILLE, GA
MAURVET MINTO, LPC
1175 GREEN ST
CONYERS, GA

  View all Agencies
v2.403