Healthcare Provider Details

I. General information

NPI: 1174287841
Provider Name (Legal Business Name): RMG HOME CARE OF RI, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/28/2021
Last Update Date: 10/28/2021
Certification Date: 10/28/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 PAVILION AVE
PROVIDENCE RI
02905-1522
US

IV. Provider business mailing address

100 PAVILION AVE
PROVIDENCE RI
02905-1522
US

V. Phone/Fax

Practice location:
  • Phone: 401-400-2562
  • Fax:
Mailing address:
  • Phone: 401-400-2562
  • Fax:

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: ERNY FRANCISCO
Title or Position: PRESIDENT
Credential:
Phone: 401-400-2562