Humangood Fresno

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

040000142 Issued in CA

Legal business name

HUMANGOOD FRESNO

Doing business as

San Joaquin Gardens
The Terraces at San Joaquin Gardens

Practice address

5555 N Fresno St
Fresno, CA 93710

Phone

(559) 439-4770

Fax

(559) 439-3569

NPI assigned

Oct 18, 2006

Organization subpart

No

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

Authorized official

Name

Kate Winter

Title

Revenue Cycle Manager

Phone

(925) 924-7115

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 2

• San Joaquin Gardens Doing business as
• The Terraces at San Joaquin Gardens Doing business as

Locations

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

{
    "created_epoch": "1161129600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529107200000",
    "number": "1346321858",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6120 STONERIDGE MALL RD FL 3",
            "address_2": "ABHOW",
            "city": "PLEASANTON",
            "state": "CA",
            "postal_code": "945883296",
            "telephone_number": "925-924-7100",
            "fax_number": "925-924-7101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5555 N FRESNO ST",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "93710",
            "telephone_number": "559-439-4770",
            "fax_number": "559-439-3569"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HUMANGOOD FRESNO",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-18",
        "last_updated": "2018-06-16",
        "status": "A",
        "authorized_official_last_name": "WINTER",
        "authorized_official_first_name": "KATE",
        "authorized_official_title_or_position": "REVENUE CYCLE MANAGER",
        "authorized_official_telephone_number": "925-924-7115"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "CA",
            "license": "040000142",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ZZR05846F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "San Joaquin Gardens",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "The Terraces at San Joaquin Gardens",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "The Terraces at San Joaquin Gardens",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sara Hulsey
• Shawna Hulsey
• Scott Randall Hultman, O,D.
• Devon Jeanne Hulunian, MS
• Humangood Fresno
• Humanize Home Care Inc.
• Heather Humann, OTR/L
• Donna Jean Hummer
• Alexis Lee Humphrey
• Ashley Ann Humphrey

• Skilled Nursing Facility in Fresno, CA
• Providers in Fresno, CA by specialty
• Skilled Nursing Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.