Organization Active NPI

Humangood Socal

  • Comprehensive Outpatient Rehabilitation Facility (CORF)
  • Escondido, CA
National Provider Identifier
1366078115
Registry record updated Jun 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Comprehensive Outpatient Rehabilitation Facility (CORF)Taxonomy code 261QR0401X
Legal business name
HUMANGOOD SOCAL
Practice address
1151 S Redwood St
Escondido, CA 92025-5614
Phone
(760) 747-4306
NPI assigned
Mar 12, 2020
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 Vangelisto
Title
Director of Accounts Receivable
Phone
(949) 463-0893

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Comprehensive Outpatient Rehabilitation Facility (CORF) 261QR0401X Primary

Addresses

Primary practice location

1151 S Redwood St
Escondido, CA 92025-5614

Mailing address

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

Other names 1

  • Redwood Rehabilitation Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200512003496 CA Part A Provider - Outpatient Physical Therapy/Occupational Therapy/Speech Pathology Services 8022104611 Practice locations: Escondido, CA

Outpatient physical therapy / speech pathology certification: CCN 056699

Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.

Legal name
REDWOOD REHABILITATION
Certification status
Active
Provider type (POS)
Outpatient physical therapy / speech pathology
Participating since
Mar 18, 1994
Last certification
Jan 24, 2002
Ownership / control type
VOLUNTARY NON PROFIT OTHER THAN CHURCH
Facility address
1151 S Redwood Street
Escondido, CA 92025

Other NPIs with the same Medicare PAC ID 4

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Humangood Socal7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1151 S Redwood St
Escondido, CA 92025
Phone (760) 480-1030

Ownership & related parties

All facility ownership & control disclosures 9

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Valle Verde Health FacilitySanta Barbara, CA, CCN 055733 Skilled nursing facility Operational/Managerial Control
Adp of the SNF
Mar 12, 1993
Mar 12, 1993
Royal Oaks Manor - Bradbury OaksDuarte, CA, CCN 555503 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control
Adp of the SNF
Feb 2, 1988
Jan 1, 1967
Jan 1, 1967
Regents Point - WindcrestIrvine, CA, CCN 555295 Skilled nursing facility 5% Or Greater Indirect Ownership Interest (100%)
Operational/Managerial Control
Adp of the SNF
Feb 2, 1988
Feb 2, 1988
Feb 2, 1988
Plymouth VillageRedlands, CA, CCN 055914 Skilled nursing facility Operational/Managerial Control
Adp of the SNF
Jan 1, 1967
Jan 1, 1967
Piedmont Gardens Health FacilityOakland, CA, CCN 056096 Skilled nursing facility Operational/Managerial Control
Adp of the SNF
Jan 1, 1967
Jan 1, 1967
The Terraces at Los Altos Health FacilityLos Altos, CA, CCN 055210 Skilled nursing facility Operational/Managerial Control
Adp of the SNF
Jan 1, 1967
Jan 1, 1967
Rosewood Health FacilityBakersfield, CA, CCN 555116 Skilled nursing facility Operational/Managerial Control
Adp of the SNF
Jan 1, 1977
Jan 1, 1977
The Terraces of Los GatosLos Gatos, CA, CCN 555547 Skilled nursing facility Operational/Managerial Control
Adp of the SNF
Jan 1, 2025
Jan 1, 1969
Redwood Terrace Health CenterEscondido, CA, CCN 555146 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control
Adp of the SNF
Oct 1, 2018
Apr 15, 1992
Apr 15, 1992

Owned or controlled facilities with NPI records 9

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

NPI Registry JSON

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

{
    "created_epoch": "1583971200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1748822400000",
    "number": "1366078115",
    "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": "1151 S REDWOOD ST",
            "city": "ESCONDIDO",
            "state": "CA",
            "postal_code": "920255614",
            "telephone_number": "760-747-4306"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HUMANGOOD SOCAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-12",
        "last_updated": "2025-06-02",
        "certification_date": "2025-06-02",
        "status": "A",
        "authorized_official_last_name": "VANGELISTO",
        "authorized_official_first_name": "GWEN",
        "authorized_official_title_or_position": "DIRECTOR OF ACCOUNTS RECEIVABLE",
        "authorized_official_telephone_number": "949-463-0893"
    },
    "taxonomies": [
        {
            "code": "261QR0401X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Redwood Rehabilitation",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Redwood Rehabilitation",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Escondido, CA

Sources for this page

Verify at the official NPI Registry.