NPIMap

Organization Active NPI

SG Homecare,Inc.

  • Durable Medical Equipment & Medical Supplies
  • Temecula, CA
National Provider Identifier
1407535628
Registry record updated Nov 12, 2024
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
42075 Remington Ave Ste 102
Temecula, CA 92590-2558
Phone
(949) 474-2050
NPI assigned
Jul 14, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 12, 2024

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

Authorized official

Name
Alexandria Hren
Title
VP
Phone
(949) 355-3675

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary
Oxygen Equipment & Supplies (DME) 332BX2000X

Addresses

Primary practice location

42075 Remington Ave Ste 102
Temecula, CA 92590-2558

Mailing address

15602 Mosher Ave
Tustin, CA 92780-6427
Phone (949) 355-3675

Other practice location 1

630 S Waterman Ave
San Bernardino, CA 92408-2330
Phone (949) 355-3675

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20241230001344 CA DME Supplier - Medical Supply Company 1951563923 Practice locations: Temecula, 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 Solutions42075 Remington Ave, Temecula, CA 92590-2558(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

630 S Waterman Ave
San Bernardino, CA 92408
Phone (949) 355-3675

NPI Registry JSON

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

{
    "created_epoch": "1689292800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731369600000",
    "number": "1407535628",
    "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": "949-355-3675"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "42075 REMINGTON AVE STE 102",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "925902558",
            "telephone_number": "949-474-2050"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "630 S Waterman Ave",
            "address_purpose": "LOCATION",
            "city": "San Bernardino",
            "state": "CA",
            "postal_code": "924082330",
            "country_code": "US",
            "telephone_number": "949-355-3675",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SG HOMECARE,INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-14",
        "last_updated": "2024-11-12",
        "certification_date": "2024-11-12",
        "status": "A",
        "authorized_official_last_name": "HREN",
        "authorized_official_first_name": "ALEXANDRIA",
        "authorized_official_title_or_position": "VP",
        "authorized_official_telephone_number": "949-355-3675"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Temecula, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2024; 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.