Active NPI
SG Homecare, Inc
- Durable Medical Equipment & Medical Supplies
- Brea, CA
National Provider Identifier
1639793524
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- Legal business name
- SG HOMECARE, INC
- Practice address
- 3350 E Birch St Ste 108
Brea, CA 92821-6290 - Phone
- (949) 474-2050
- Fax
- (949) 474-4460
- NPI assigned
- Jun 5, 2020
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | Primary |
Addresses
Primary practice location
3350 E Birch St Ste 108
Brea, CA 92821-6290
Mailing address
345 McCormick Ave
Costa Mesa, CA 92626-3422
Phone (951) 541-6269
National Provider Directory
National Provider DirectoryLocations
3350 E Birch St
Ste 108
Brea, CA 92821
Phone (800) 832-2487
345 McCormick Ave
Costa Mesa, CA 92626
Phone (949) 466-7112
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": "1639793524",
"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": "951-541-6269"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3350 E BIRCH ST STE 108",
"city": "BREA",
"state": "CA",
"postal_code": "928216290",
"telephone_number": "949-474-2050",
"fax_number": "949-474-4460"
}
],
"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 Brea, 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.