# SG HOMECARE, INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1013531920
- **Authorized official:** ALEXANDRIA HREN (DIRECTOR)
- **Authorized official phone:** (949) 474-2050

## Contact information

- **Practice address:** 5550 SKYLANE BLVD STE G, SANTA ROSA, CA 95403-1072
- **Practice address phone:** (707) 502-3203
- **Practice address fax:** (707) 540-6019
- **Mailing address:** 345 MCCORMICK AVE, COSTA MESA, CA 92626-3422
- **Mailing address phone:** (949) 474-2050
- **Mailing address fax:** (949) 474-4460

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | Yes |

## Other

- **Enumeration date:** 06/05/2020
- **Last updated:** 06/05/2020