Organization Active NPI

Humangood Fresno

Doing business as The Terraces at San Joaquin Gardens Village

  • Skilled Nursing Facility
  • Fresno, CA
National Provider Identifier
1134480817
Registry record updated Jun 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
040000142 Issued in CA
Legal business name
HUMANGOOD FRESNO
Doing business as
The Terraces at San Joaquin Gardens Village
Practice address
5551 N Fresno St
Fresno, CA 93710
Phone
(559) 430-8202
Fax
(559) 439-3569
NPI assigned
May 30, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2025

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

Authorized official

Name
Gwen Ellen Vangelisto
Title
Director of Accounts Receivable
Phone
(949) 463-0893

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 040000142 CA Primary

Addresses

Primary practice location

5551 N Fresno St
Fresno, CA 93710

Mailing address

1900 Huntington Dr
Duarte, CA 91010-2694
Phone (818) 247-0420

Other names 1

  • The Terraces at San Joaquin Gardens Village Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120906000314 CA Part A Provider - Skilled Nursing Facility 4082861554 Practice locations: Fresno, CA

Skilled nursing facility certification: CCN 055846

Legal name
HUMANGOOD FRESNO
Doing business as
THE TERRACES AT SAN JOAQUIN GARDENS VILLAGE
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Nov 15, 1967
Last certification
Mar 21, 2025
Beds
54
Ownership / control type
Nonprofit Corporation
Multi-facility organization
Humangood
Organization structure
CorporationNon-profit
Incorporated
Nov 30, 1955 in CA
Enrollment address
5551 N Fresno St
Fresno, CA 93710-6006
Nursing home name
THE TERRACES AT SAN JOAQUIN GARDENS VILLAGE
Affiliated entity
HUMANGOOD

Care Compare: Nursing home

Medicare Care Compare
Listed as
The Terraces at San Joaquin Gardens VillageCCN 055846 · All quality measures
Overall star rating
5 of 5
Health inspections
3 of 5
Staffing
5 of 5
Quality measures
5 of 5
Type
Medicare and Medicaid
Ownership
Non profit - Corporation
Certified
Nov 15, 1967
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
5447.3 residents per day on average
Chain
Humangood17 facilities in the chain

Processed by Care Compare on Aug 1, 2026.

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.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D0589525Terraces at San Joaquin Gardens Village, the5551 N Fresno St, Fresno, CA 93710Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 25

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
William J Battison Individual Corporate DirectorBoard Member Feb 3, 2011
Hansen Hunter LLC Organization, Portland, OR LLC Adp of the SNF Mar 27, 2017
Jessica Lopez Individual Operational/Managerial Control Jan 20, 2020
Alan Griffith Individual Corporate DirectorBoard Member Jun 30, 2019
Operational/Managerial Control Jun 30, 2019
Baker Tilly US LLP Organization, Madison, WI Adp of the SNF Oct 15, 2024
Albert W Kelley Individual Corporate DirectorBoard Member Apr 21, 2008
Humangood Fresno Organization, Duarte, CA Corporation, Non-profit, Owned by another organization or individual 5% Or Greater Direct Ownership Interest Aug 1, 2012 100%
Operational/Managerial Control Aug 1, 2012
Adp of the SNF Aug 1, 2012
Washington Federal Organization, Seattle, WA Financial institution Adp of the SNF Nov 6, 2020
Stephen M Grossman Individual Operational/Managerial Control Dec 1, 1998
Adp of the SNF Dec 1, 1998
John H. Cochrane Individual Corporate OfficerPresident & Ceo Aug 10, 2009
Operational/Managerial Control Aug 10, 2009
Alexis Case Individual Operational/Managerial Control Aug 21, 2022
Adp of the SNF Aug 21, 2022
Parmveer Chahal Individual Operational/Managerial Control Jan 4, 2023
Adp of the SNF Jan 4, 2023
Humangood Norcal Organization, Duarte, CA Corporation, Non-profit Operational/Managerial Control Sep 26, 2012
Adp of the SNF Sep 26, 2012
Michelle M Holmes Individual Corporate DirectorBoard Member May 1, 2016
Judith D Baker Individual Corporate DirectorBoard Member Apr 25, 2012
Herman Declan Brown Individual Corporate OfficerSecretary May 1, 2016
Corporate DirectorBoard Member May 1, 2016
Bethany J Ghassemi Individual Corporate OfficerAssistant Secretary May 21, 2019
Operational/Managerial Control May 21, 2019
Gwen Vangelisto Individual Operational/Managerial Control Aug 30, 2021
Adp of the SNF Aug 30, 2021
Baker Tilly Advisory Group LP Organization, Madison, WI Adp of the SNF Mar 21, 2025
Daniel Ogus Individual Corporate OfficerChief Operating Officer Aug 27, 2009
Operational/Managerial Control Oct 17, 1995
Andrew McDonald Individual Corporate OfficerCfo Jan 1, 2020
Operational/Managerial Control Jan 1, 2020
Robert Dowell Individual Corporate DirectorBoard Member Mar 15, 2024
U.S. Bank Organization, San Francisco, CA Financial institution 5% Or Greater Security Interest Apr 1, 2018 73%
Adp of the SNF Apr 1, 2018
Humangood Organization, Duarte, CA Corporation, Non-profit 5% Or Greater Indirect Ownership Interest May 1, 2016 100%
Adp of the SNF Apr 10, 2025
Esmeralda Coleman Individual Operational/Managerial Control Jun 2, 2023
Adp of the SNF Jun 2, 2023

Owners & managing parties with NPI records 7

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Facilities with the same owner 16

Facilities that share an organizational owner with 5% or greater ownership or operational control.

View all 16

Practitioners & affiliated clinicians

Affiliated clinicians 4

Clinicians who list this facility as an affiliation in Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1338336000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1748822400000",
    "number": "1134480817",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1900 HUNTINGTON DR",
            "city": "DUARTE",
            "state": "CA",
            "postal_code": "910102694",
            "telephone_number": "818-247-0420",
            "fax_number": "949-528-2434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5551 N FRESNO ST",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "93710",
            "telephone_number": "559-430-8202",
            "fax_number": "559-439-3569"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HUMANGOOD FRESNO",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-30",
        "last_updated": "2025-06-02",
        "certification_date": "2025-06-02",
        "status": "A",
        "authorized_official_last_name": "VANGELISTO",
        "authorized_official_first_name": "GWEN",
        "authorized_official_middle_name": "ELLEN",
        "authorized_official_title_or_position": "DIRECTOR OF ACCOUNTS RECEIVABLE",
        "authorized_official_telephone_number": "949-463-0893"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "CA",
            "license": "040000142",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Terraces at San Joaquin Gardens Village",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "The Terraces at San Joaquin Gardens Village",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fresno, CA

Sources for this page

Verify at the official NPI Registry.