Active NPI
Humangood Fresno
Doing business as The Terraces at San Joaquin Gardens Village
- Skilled Nursing Facility
- Fresno, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 040000142
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
- Corporation
- 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 Village
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- Non profit - Corporation
- Certified
- Nov 15, 1967
- Medicare certification status
- Active
- Certified beds
- 54
- Chain
- Humangood
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 05D0589525 | Terraces at San Joaquin Gardens Village, the | Certificate of waiver | Aug 31, 2026 |
National Provider Directory
National Provider DirectoryOwnership & 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.
| Name | Role | Since | Share |
|---|---|---|---|
| William J Battison | Corporate Director | Feb 3, 2011 | |
| Hansen Hunter LLC | Adp of the SNF | Mar 27, 2017 | |
| Jessica Lopez | Operational/Managerial Control | Jan 20, 2020 | |
| Alan Griffith | Corporate Director | Jun 30, 2019 | |
| Operational/Managerial Control | Jun 30, 2019 | ||
| Baker Tilly US LLP | Adp of the SNF | Oct 15, 2024 | |
| Albert W Kelley | Corporate Director | Apr 21, 2008 | |
| Humangood Fresno | 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 | Adp of the SNF | Nov 6, 2020 | |
| Stephen M Grossman | Operational/Managerial Control | Dec 1, 1998 | |
| Adp of the SNF | Dec 1, 1998 | ||
| John H. Cochrane | Corporate Officer | Aug 10, 2009 | |
| Operational/Managerial Control | Aug 10, 2009 | ||
| Alexis Case | Operational/Managerial Control | Aug 21, 2022 | |
| Adp of the SNF | Aug 21, 2022 | ||
| Parmveer Chahal | Operational/Managerial Control | Jan 4, 2023 | |
| Adp of the SNF | Jan 4, 2023 | ||
| Humangood Norcal | Operational/Managerial Control | Sep 26, 2012 | |
| Adp of the SNF | Sep 26, 2012 | ||
| Michelle M Holmes | Corporate Director | May 1, 2016 | |
| Judith D Baker | Corporate Director | Apr 25, 2012 | |
| Herman Declan Brown | Corporate Officer | May 1, 2016 | |
| Corporate Director | May 1, 2016 | ||
| Bethany J Ghassemi | Corporate Officer | May 21, 2019 | |
| Operational/Managerial Control | May 21, 2019 | ||
| Gwen Vangelisto | Operational/Managerial Control | Aug 30, 2021 | |
| Adp of the SNF | Aug 30, 2021 | ||
| Baker Tilly Advisory Group LP | Adp of the SNF | Mar 21, 2025 | |
| Daniel Ogus | Corporate Officer | Aug 27, 2009 | |
| Operational/Managerial Control | Oct 17, 1995 | ||
| Andrew McDonald | Corporate Officer | Jan 1, 2020 | |
| Operational/Managerial Control | Jan 1, 2020 | ||
| Robert Dowell | Corporate Director | Mar 15, 2024 | |
| U.S. Bank | 5% Or Greater Security Interest | Apr 1, 2018 | 73% |
| Adp of the SNF | Apr 1, 2018 | ||
| Humangood | 5% Or Greater Indirect Ownership Interest | May 1, 2016 | 100% |
| Adp of the SNF | Apr 10, 2025 | ||
| Esmeralda Coleman | 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.
-
- Geriatric Medicine (Internal Medicine) Physician
- Fresno, CA
- NPI 1942220926
Adp of the SNF, Operational/Managerial Control
-
dba The Terraces at Los Altos Health Facility
- Skilled Nursing Facility
- Los Altos, CA
- NPI 1083795595
Adp of the SNF, Operational/Managerial Control
-
dba Valle Verde
- Skilled Nursing Facility
- Santa Barbara, CA
- NPI 1255412763
Adp of the SNF, Operational/Managerial Control
-
dba Piedmont Gardens
- Skilled Nursing Facility
- Oakland, CA
- NPI 1437230943
Adp of the SNF, Operational/Managerial Control
-
dba Terraces of Los Gatos
- Skilled Nursing Facility
- Los Gatos, CA
- NPI 1659356111
Adp of the SNF, Operational/Managerial Control
-
dba Rosewood
- Skilled Nursing Facility
- Bakersfield, CA
- NPI 1700967213
Adp of the SNF, Operational/Managerial Control
-
dba Plymouth Village
- Skilled Nursing Facility
- Redlands, CA
- NPI 1982789343
Adp of the SNF, Operational/Managerial Control
Facilities with the same owner 16
Facilities that share an organizational owner with 5% or greater ownership or operational control.
-
dba The Terraces at Los Altos Health Facility
- Skilled Nursing Facility
- Los Altos, CA
- NPI 1083795595
Humangood Norcal
-
dba Valle Verde
- Skilled Nursing Facility
- Santa Barbara, CA
- NPI 1255412763
Humangood, Humangood Norcal
-
dba Piedmont Gardens
- Skilled Nursing Facility
- Oakland, CA
- NPI 1437230943
Humangood Norcal
-
dba Terraces of Los Gatos
- Skilled Nursing Facility
- Los Gatos, CA
- NPI 1659356111
Humangood, Humangood Norcal
-
dba Rosewood
- Skilled Nursing Facility
- Bakersfield, CA
- NPI 1700967213
Humangood, Humangood Norcal
-
dba Plymouth Village
- Skilled Nursing Facility
- Redlands, CA
- NPI 1982789343
Humangood, Humangood Norcal
-
dba Royal Oaks Manor - Bradbury Oaks
- Skilled Nursing Facility
- Duarte, CA
- NPI 1083689848
Humangood, Humangood Norcal
-
dba Redwood Terrace Health Center
- Skilled Nursing Facility
- Escondido, CA
- NPI 1477055630
Humangood, Humangood Norcal
-
dba Regents Point - Windcrest
- Skilled Nursing Facility
- Irvine, CA
- NPI 1568437325
Humangood, Humangood Norcal
-
dba Village at Hillside
- Skilled Nursing Facility
- McMinnville, OR
- NPI 1730889072
Humangood
-
- Skilled Nursing Facility
- Phoenix, AZ
- NPI 1619058120
Humangood, Humangood Norcal
-
dba The Terraces of Boise
- Skilled Nursing Facility
- Boise, ID
- NPI 1407239973
Humangood, Humangood Norcal
Practitioners & affiliated clinicians
Affiliated clinicians 4
Clinicians who list this facility as an affiliation in Medicare Care Compare.
-
- Geriatric Medicine (Internal Medicine) Physician
- Fresno, CA
- NPI 1942220926
Nursing home
-
- Geriatric Medicine (Internal Medicine) Physician
- Fresno, CA
- NPI 1679651582
Nursing home
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.