MEDICARE: RG HOME HEALTH CARE INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251E00000X	Home Health Agency

General Provider Information

NPI Number	:	1356838718
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	RG HOME HEALTH CARE INC

Provider Business Mailing Address
First Line	:	1835 UNIVERSITY BLVD E
Second Line	:
City	:	HYATTSVILLE
State	:	MD
Zip	:	20783-4600
Country	:	US
Telephone Number	:	703-333-5103
Fax Number	:

Provider Business Practice Location Address
First Line	:	1835 UNIVERSITY BLVD
Second Line	:
City	:	HYATTSVILLE
State	:	MD
Zip	:	20783-2078
Country	:	US
Telephone Number	:	709-801-9992
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	RICARDO GIRON
Credential	:
Telephone Number	:	703-801-9992

Provider Enumeration Date	:	04/20/2018
Last Update Date	:	08/17/2018

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