NPIMap

Organization Active NPI

SG Homecare, Inc

  • Durable Medical Equipment & Medical Supplies
  • Santa Rosa, CA
National Provider Identifier
1013531920
Registry record updated Jun 5, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
SG HOMECARE, INC
Practice address
5550 Skylane Blvd Ste G
Santa Rosa, CA 95403-1072
Phone
(707) 502-3203
Fax
(707) 540-6019
NPI assigned
Jun 5, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2020

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

Authorized official

Name
Alexandria Hren
Title
Director
Phone
(949) 474-2050

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

5550 Skylane Blvd Ste G
Santa Rosa, CA 95403-1072

Mailing address

345 McCormick Ave
Costa Mesa, CA 92626-3422
Phone (949) 474-2050

National Provider Directory

National Provider Directory
Tax ID family
SG Homecareinc18 organizations share this tax ID, including this one

Other organizations with this tax ID 17

Organizations that report the same tax identification number in the National Provider Directory.

View all 17

Locations

5550 Skylane Blvd
Ste G
Santa Rosa, CA 95403
Phone (707) 502-3203

NPI Registry JSON

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

{
    "created_epoch": "1591315200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1591315200000",
    "number": "1013531920",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "345 MCCORMICK AVE",
            "city": "COSTA MESA",
            "state": "CA",
            "postal_code": "926263422",
            "telephone_number": "949-474-2050",
            "fax_number": "949-474-4460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5550 SKYLANE BLVD STE G",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954031072",
            "telephone_number": "707-502-3203",
            "fax_number": "707-540-6019"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SG HOMECARE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-05",
        "last_updated": "2020-06-05",
        "certification_date": "2020-06-05",
        "status": "A",
        "authorized_official_last_name": "HREN",
        "authorized_official_first_name": "ALEXANDRIA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "949-474-2050"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Rosa, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.