Organization Active NPI

SG Homecare,Inc.

Doing business as Stance Health Solutions

  • Prosthetic/Orthotic Supplier
  • Corona, CA
National Provider Identifier
1194594390
Registry record updated Oct 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
Legal business name
SG HOMECARE,INC.
Doing business as
Stance Health Solutions
Practice address
2275 Sampson Ave Ste 100
Corona, CA 92879-3401
Phone
(949) 474-2050
NPI assigned
Dec 28, 2023
Last updated
Oct 15, 2025By the provider in NPPES
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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X NU
Oxygen Equipment & Supplies (DME) 332BX2000X NU
Prosthetic/Orthotic Supplier 335E00000X NU Primary

Addresses

Primary practice location

2275 Sampson Ave Ste 100
Corona, CA 92879-3401

Mailing address

15602 Mosher Ave
Tustin, CA 92780-6427

Other names 1

  • Stance Health Solutions Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250319003032 CA DME Supplier - Medical Supply Company 1951563923 Practice locations: Corona, CA

Other NPIs with the same Medicare PAC ID 11

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

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
Stance Health Solutions2275 Sampson Ave, Corona, CA 92879-3401(949) 474-2050 Commodes, Urinals, Bedpans|Continuous Passive Motion (CPM) Devices|Blood Glucose Monitors/Supplies (Non-Mail Order)|Gastric Suction Pumps|Heat & Cold Applications|Hospital Beds (Electric)|Insulin Infusion Pumps and/or Supplies|Negative Pressure Wound Therapy Pumps/Supplies|Neuromuscular Elect Stimu… Does not accept assignmentParticipating since Jan 23, 2012

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

2275 Sampson Ave
Ste 100
Corona, CA 92879

3115 Airway Ave
Costa Mesa, CA 92626

9858 Kent St
Elk Grove, CA 95624

4529 N Marty Ave
Ste 104
Fresno, CA 93722

23172 Plaza Pointe Dr
Ste 140
Laguna Hills, CA 92653
Phone (714) 443-0709

10200 Sepulveda Blvd
Ste 330
Mission Hills, CA 91345
Phone (818) 925-8225

642 S Waterman Ave
San Bernardino, CA 92408
Phone (909) 435-2345

31385 Plantation Dr
Thousand Palms, CA 92276
Phone (949) 474-3050

12380 Hesperia Rd
Ste 1
Victorville, CA 92395

Practitioners & affiliated clinicians

Practitioners 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1703721600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1760486400000",
    "number": "1194594390",
    "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"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2275 SAMPSON AVE STE 100",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928793401",
            "telephone_number": "949-474-2050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SG HOMECARE,INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-28",
        "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": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Stance Health Solutions",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Corona, 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 enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.