Provider Demographics
NPI:1528263282
Name:RMG HEALTH LLC
Entity type:Organization
Organization Name:RMG HEALTH LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:JUDE
Authorized Official - Middle Name:C
Authorized Official - Last Name:AMANFO
Authorized Official - Suffix:
Authorized Official - Credentials:MPH
Authorized Official - Phone:410-466-7711
Mailing Address - Street 1:3502 W ROGERS AVE
Mailing Address - Street 2:SUITE 2
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21215-4749
Mailing Address - Country:US
Mailing Address - Phone:410-466-7711
Mailing Address - Fax:410-466-7717
Practice Address - Street 1:3502 W ROGERS AVE
Practice Address - Street 2:SUITE 2
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21215-4749
Practice Address - Country:US
Practice Address - Phone:410-466-7711
Practice Address - Fax:410-466-7717
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-20
Last Update Date:2017-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD405339700251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD405339700Medicaid