Healthcare Provider Details

I. General information

NPI: 1902044415
Provider Name (Legal Business Name): RMG HOME CARE, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/22/2009
Last Update Date: 07/15/2025
Certification Date: 07/15/2025
Deactivation Date: 09/28/2018
Reactivation Date: 10/04/2018

III. Provider practice location address

11-15 SANDERSDALE ROAD
SOUTHBRIDGE MA
01550
US

IV. Provider business mailing address

11-15 SANDERSDALE ROAD
SOUTHBRIDGE MA
01550-1513
US

V. Phone/Fax

Practice location:
  • Phone: 774-420-2311
  • Fax: 508-519-0763
Mailing address:
  • Phone: 774-420-2311
  • Fax: 508-519-0763

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: KRYSTAL SICAL
Title or Position: QUALITY ASSURANCE NURSE
Credential:
Phone: 774-420-4311