Organization Active NPI

Consecrated Care Inc

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Riverdale, GA
National Provider Identifier
1336619220
Registry record updated Sep 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X
Legal business name
CONSECRATED CARE INC
Practice address
253 Upper Riverdale Rd SW Ste C
Riverdale, GA 30274-4945
Phone
(770) 472-9110
NPI assigned
Dec 4, 2018
Last updated
Sep 26, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Tashawnka Madgett
Title
Ceo
Phone
(678) 862-2020

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X Primary

Addresses

Primary practice location

253 Upper Riverdale Rd SW Ste C
Riverdale, GA 30274-4945

Mailing address

253 Upper Riverdale Rd SW Ste C
Riverdale, GA 30274-4945
Phone (770) 472-9110

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Opioid treatment program
Medicare-enrolled since Feb 1, 2020

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200812003293 GA Part B Supplier - Opioid Treatment Program (Otp) 7719303478 Practice locations: Riverdale, GA

National Provider Directory

National Provider Directory

Locations

217 Arrowhead Blvd
Ste B1
Jonesboro, GA 30236
Phone (770) 471-2120

253 Upper Riverdale Rd SW
Ste C
Riverdale, GA 30274
Phone (770) 472-9110

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1543881600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1758844800000",
    "number": "1336619220",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "253 UPPER RIVERDALE RD SW STE C",
            "city": "RIVERDALE",
            "state": "GA",
            "postal_code": "302744945",
            "telephone_number": "770-472-9110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "253 UPPER RIVERDALE RD SW STE C",
            "city": "RIVERDALE",
            "state": "GA",
            "postal_code": "302744945",
            "telephone_number": "770-472-9110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONSECRATED CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-12-04",
        "last_updated": "2025-09-26",
        "certification_date": "2025-09-26",
        "status": "A",
        "authorized_official_last_name": "MADGETT",
        "authorized_official_first_name": "TASHAWNKA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "678-862-2020"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Riverdale, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.