Illum Residential Care, Inc.
NPI 1033943949 · Home Health Agency · Mcdonough, GA
Illum Residential Care, Inc. is a Home Health Agency organization in Mcdonough, GA (NPI 1033943949).
Provider details
- NPI number
- 1033943949
- Entity type
- Organization
- Primary specialty
- Home Health AgencyAgencies
- Organization subpart
- No
- Authorized official
- Raven Pittman, Chief Financial Officer(470) 476-9527
Specialties & taxonomies
Agencies
Behavioral Health & Social Service Providers
- Mental Health Counselor101YM0800X
Behavioral Health & Social Service Providers
- Meals Provider174200000X
Other Service Providers
- Transportation Network Company342000000X
Transportation Services
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2024-09-02
- Last updated
- 2024-09-02
- Certified
- 2024-09-02
Frequently asked questions
- What is Illum Residential Care, Inc.'s NPI number?
- Illum Residential Care, Inc.'s National Provider Identifier (NPI) is 1033943949, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Illum Residential Care, Inc.?
- Illum Residential Care, Inc. is classified in the NPPES registry as Home Health Agency (Agencies).
- Where is Illum Residential Care, Inc. located?
- Illum Residential Care, Inc.'s practice location on file with NPPES is 625 Moorings Ave, Mcdonough, GA 30253-5613.
- What is Illum Residential Care, Inc.'s phone number?
- The practice phone number listed in the NPPES registry for Illum Residential Care, Inc. is (470) 476-9527.
- Who is the authorized official for Illum Residential Care, Inc.?
- The authorized official listed on Illum Residential Care, Inc.'s NPPES record is Raven Pittman, Chief Financial Officer. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Illum Residential Care, Inc.'s NPI active?
- Yes — Illum Residential Care, Inc.'s NPI (1033943949) is active in the NPPES registry as of the last update on 2024-09-02.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.