Organization Active NPI

RMG Home Care, Inc

  • Home Health Agency
  • Southbridge, MA
National Provider Identifier
1902044415
Registry record updated Jul 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
RMG HOME CARE, INC
Practice address
11-15 Sandersdale Road
Southbridge, MA 01550
Phone
(774) 420-2311
Fax
(508) 519-0763
NPI assigned
Jan 22, 2009
Reactivated
Oct 4, 2018
Last updated
Jul 15, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Krystal Sical
Title
Quality Assurance Nurse
Phone
(774) 420-4311

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X NU Primary

Addresses

Primary practice location

11-15 Sandersdale Road
Southbridge, MA 01550

Mailing address

11-15 Sandersdale Road
Southbridge, MA 01550-1513
Phone (774) 420-2311

Other names 1

  • Metropolitan Home Care, INC Former legal business name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090511000164 MA Part A Provider - Home Health Agency 6800944323 Practice locations: Southbridge, MA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1902044415. Details of each certification follow.

Home health agency certification: CCN 227518

Legal name
RMG HOME CARE, INC.
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Mar 23, 2010
Last certification
Feb 21, 2020
Ownership / control type
Proprietary
Organization structure
CorporationProprietary
Enrollment address
11-15 Sandersdale Road
Southbridge, MA 01550

Care Compare: Home health agency

Medicare Care Compare
Listed as
RMG Home Care IncCCN 227518 · All quality measures
Ownership
Proprietary
Certified
Mar 23, 2010
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Home health aide

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
22D1095059RMG Home Care11-15 Sandersdale Road, Southbridge, MA 01550Certificate of waiverFeb 1, 2027

National Provider Directory

National Provider Directory

Locations

697 Cambridge St
Ste 104
Brighton, MA 02135
Phone (617) 202-9090

1180 Beacon St
Ste 3CR
Brookline, MA 02446
Phone (617) 202-9090

290 Centre St
#203A
Newton, MA 02458
Phone (617) 202-9090

18 Hammond St
Ste 102
Worcester, MA 01610

Ownership & related parties

All disclosed owners & managing parties 7

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Lissette Guzman Individual Corporate DirectorAdministrator of Board Jun 1, 2022 15%
Adekunle G Fajana Individual Corporate DirectorMedical Director Jun 1, 2024 10%
Jesus D Suarez Individual 5% Or Greater Direct Ownership InterestOwner/ Ceo May 20, 2015 100%
Corporate OfficerCeo, President of Board May 20, 2015 80%
Corporate DirectorCeo, President of Board May 20, 2015 20%
Krystal M Sical Individual W-2 Managing EmployeeAlternate Administrator Apr 18, 2018 10%
Grace M Rodriguez Individual Operational/Managerial ControlOperations Manager Apr 16, 2018 10%
Renaissance Medical Group, LLC Organization, Southbridge, MA LLC, For-profit Operational/Managerial Control Oct 1, 2016 100%
David Rozinov Individual Corporate DirectorVice President of Board of Director Jun 1, 2022

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Practitioners & affiliated clinicians

Practitioners 14

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 14

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1232582400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1752537600000",
    "number": "1902044415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11-15 SANDERSDALE ROAD",
            "city": "SOUTHBRIDGE",
            "state": "MA",
            "postal_code": "015501513",
            "telephone_number": "774-420-2311",
            "fax_number": "508-519-0763"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11-15 SANDERSDALE ROAD",
            "city": "SOUTHBRIDGE",
            "state": "MA",
            "postal_code": "01550",
            "telephone_number": "774-420-2311",
            "fax_number": "508-519-0763"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RMG HOME CARE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-22",
        "last_updated": "2025-07-15",
        "certification_date": "2025-07-15",
        "deactivation_date": "2018-09-28",
        "reactivation_date": "2018-10-04",
        "status": "A",
        "authorized_official_last_name": "SICAL",
        "authorized_official_first_name": "KRYSTAL",
        "authorized_official_title_or_position": "QUALITY ASSURANCE NURSE",
        "authorized_official_telephone_number": "774-420-4311"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Metropolitan Home Care, INC",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Metropolitan Home Care, INC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Southbridge, MA

Sources for this page

Verify at the official NPI Registry.