Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Illum Residential Care, Inc

Organization Addiction (Substance Use Disorder) Counselor · NPI 1033943949

Illum Residential Care, Inc is an Addiction (Substance Use Disorder) Counselor in McDonough, Georgia. Registered with an NPI since 2024.

In the registry since
2024
Specialties on file
5
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

625 Moorings Ave
McDonough, GA 30253-5613
Phone: (470) 476-9527
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Home Health Agency (primary) Taxonomy 251E00000X
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X
Mental Health Counselor Taxonomy 101YM0800X
Meals Provider Taxonomy 174200000X
Transportation Network Company Taxonomy 342000000X

Record details

NPI number1033943949
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Raven Pittman — Chief Financial Officer · (470) 476-9527
NPI enumeratedSeptember 2, 2024
Last updated in NPPESSeptember 2, 2024
Certification dateSeptember 2, 2024
Mailing address625 Moorings Ave, McDonough, GA 30253-5613

Other providers in McDonough