Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

Illum Residential Care, Inc.

Q: What type of organization is Illum Residential Care, Inc.?

Illum Residential Care, Inc. is registered in NPPES as a Home Health Agency (its primary provider taxonomy).

Home Health Agency in Mcdonough, GA · enumerated 2024 · authorized official Raven Pittman, Chief Financial Officer.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1033943949

Verified

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Registry record

Entity type Organization (Type 2)

Legal business name Illum Residential Care, Inc.

Practice address 625 Moorings Ave, Mcdonough, GA, 30253

Phone (470) 476-9527

Enumeration date Sep 2, 2024

Last updated in NPPES Sep 2, 2024

Taxonomy & classification

101YA0400X Addiction (Substance Use Disorder) Counselor Behavioral Health & Social Service Providers Secondary

101YM0800X Mental Health Counselor Behavioral Health & Social Service Providers Secondary

174200000X Meals Provider Other Service Providers Secondary

251E00000X Home Health Agency Agencies Primary

342000000X Transportation Network Company Transportation Services Secondary

Authorized official

Name Raven Pittman

Title Chief Financial Officer

Phone (470) 476-9527

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

What type of organization is Illum Residential Care, Inc.?

Illum Residential Care, Inc. is registered in NPPES as a Home Health Agency (its primary provider taxonomy).

What is a Type 2 NPI?

A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2024-09-02.