P Praxis·MD
● Active Type 2 · Organization

Illum Residential Care, Inc.

Home Health·McDonough, GA· NPI 1033943949 · Enumerated 2024 · 1 years on NPI
Illum Residential Care, Inc. is 1 of 3083 home health organizations in Georgia.
NPI age
1 years
Enumerated 2024-09-02
Primary specialty
Home Health
Plus 4 secondary
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Pittman
Chief Financial Officer
Last NPPES update
2024-09-02
Source: monthly bulk 2026-05

How this organization compares

Across 3083 active home health providers in Georgia.

NPI age
1 years
↓ 5 yr below median
Practice locations
1
0 secondary on file
Subspecialties
4
In the 19% of peers with subspecialties

NPI lifetime · 2024 → 2026

2024-09Enumerated in NPPES
2024 2026

Where they practice

Primary practice location
625 Moorings Ave
McDonough, GA 302535613
📞 4704769527
Mailing address
625 Moorings Ave
McDonough, GA 302535613
📞 4704769527

Authorized official

Raven Pittman
Chief Financial Officer
📞 4704769527

Specialties

  • Home Health Primary
    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...
    taxonomy 251E00000X
  • Counselor
    Definition to come...
    taxonomy 101YA0400X
  • Counselor
    Definition to come...
    taxonomy 101YM0800X
  • Meals
    A public or privately owned facility providing meals to individuals traveling long distances or receiving prolonged outpatient medical services away from home.
    taxonomy 174200000X
  • Transportation Network Company
    A ride-sharing company that provides prearranged or contracted non-emergency medical transportation services to patients through mobile or online technology.
    taxonomy 342000000X

Practice context

Single-site organization. Only one practice location on file.

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How to verify this organization

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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