Organization
SG HOMECARE,INC.
Active
Other names
Stance Health Solutions
Organization subpart
No
Provider details
NPI number
Authorized official
JAY CHARLES WENDT (CEO)
(949) 474-2050
Entity
Organization
Contact information
Practice address
15602 MOSHER AVE, TUSTIN, CA 92780-6427
(949) 474-2050
(949) 474-4460
Mailing address
15602 MOSHER AVE, TUSTIN, CA 92780-6427
(949) 355-3675
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
332BC3200X
Customized Equipment (DME)
—
—
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
—
—
332BX2000X
Oxygen Equipment & Supplies (DME)
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1174749972
—
CA
Enumeration date
04/18/2007
Last updated
10/15/2025
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