MEDICARE: SG HOMECARE,INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	335E00000X	Prosthetic/Orthotic Supplier
2	332B00000X	Durable Medical Equipment & Medical Supplies

General Provider Information

NPI Number	:	1932031564
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SG HOMECARE,INC.

Provider Business Mailing Address
First Line	:	4798 N MARTY AVE
Second Line	:
City	:	FRESNO
State	:	CA
Zip	:	93722-7843
Country	:	US
Telephone Number	:	949-474-2050
Fax Number	:

Provider Business Practice Location Address
First Line	:	4798 N MARTY AVE
Second Line	:
City	:	FRESNO
State	:	CA
Zip	:	93722-7843
Country	:	US
Telephone Number	:	949-474-2050
Fax Number	:

Authorized Official
Title or Position	:	DIRECTOR, COMPLIANCE & RISK MANAGEM
Name	:	JORGE VARGAS
Credential	:
Telephone Number	:	714-905-1208

Provider Enumeration Date	:	05/29/2026
Last Update Date	:	05/29/2026

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Directions to “SG HOMECARE,INC. ” Practice Location

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