Provider Demographics
NPI:1356838718
Name:RG HOME HEALTH CARE INC
Entity type:Organization
Organization Name:RG HOME HEALTH CARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:RICARDO
Authorized Official - Middle Name:
Authorized Official - Last Name:GIRON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:703-801-9992
Mailing Address - Street 1:1835 UNIVERSITY BLVD E
Mailing Address - Street 2:
Mailing Address - City:HYATTSVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20783-4600
Mailing Address - Country:US
Mailing Address - Phone:703-333-5103
Mailing Address - Fax:
Practice Address - Street 1:1835 UNIVERSITY BLVD
Practice Address - Street 2:
Practice Address - City:HYATTSVILLE
Practice Address - State:MD
Practice Address - Zip Code:20783-2078
Practice Address - Country:US
Practice Address - Phone:709-801-9992
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-04-20
Last Update Date:2018-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD=========Medicaid