Organization Active NPI

SG Homecare,Inc.

  • Durable Medical Equipment & Medical Supplies
  • San Luis Obispo, CA
National Provider Identifier
1104440015
Registry record updated Oct 15, 2025
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
710 Fiero Lane
Units 14 & 18
San Luis Obispo, CA 93401-8047
Phone
(805) 364-0545
Fax
(949) 474-4460
NPI assigned
Jun 5, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2025

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

Authorized official

Name
Jay Charles Wendt
Title
Ceo
Phone
(949) 474-2050

Specialties & licenses 1

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

Addresses

Primary practice location

710 Fiero Lane
Units 14 & 18
San Luis Obispo, CA 93401-8047

Mailing address

15602 Mosher Ave
Tustin, CA 92780-6427
Phone (949) 474-2050

Other names 1

  • Stance Health Solutions Doing business as

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.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
SG Homecare Inc710 Fiero LN, San Luis Obispo, CA 93401-7900(949) 747-2050 Continuous Passive Motion (CPM) Devices|Blood Glucose Monitors/Supplies (Non-Mail Order)|Blood Glucose Monitors/Supplies (Mail Order)|Gastric Suction Pumps|Heat & Cold Applications|Hospital Beds (Electric)|Insulin Infusion Pumps and/or Supplies|Negative Pressure Wound Therapy Pumps/Supplies|Neuromu… Does not accept assignmentParticipating since Jan 23, 2012

National Provider Directory

National Provider Directory

Locations

1140 Kendall Rd
Ste B
San Luis Obispo, CA 93401

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": "1760486400000",
    "number": "1104440015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15602 MOSHER AVE",
            "city": "TUSTIN",
            "state": "CA",
            "postal_code": "927806427",
            "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": "710 FIERO LANE",
            "address_2": "UNITS 14 & 18",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "934018047",
            "telephone_number": "805-364-0545",
            "fax_number": "949-474-4460"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SG HOMECARE,INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-05",
        "last_updated": "2025-10-15",
        "certification_date": "2025-10-15",
        "status": "A",
        "authorized_official_last_name": "WENDT",
        "authorized_official_first_name": "JAY",
        "authorized_official_middle_name": "CHARLES",
        "authorized_official_title_or_position": "CEO",
        "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": [
        {
            "organization_name": "Stance Health Solutions",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Luis Obispo, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.