Active NPI
Humangood Socal
- Skilled Nursing Facility
- Glendale, CA
National Provider Identifier
1972588846
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 970000052
- Legal business name
- HUMANGOOD SOCAL
- Practice address
- 1230 E. Windsor Rd.
Glendale, CA 91205 - Phone
- (818) 244-7219
- Fax
- (818) 240-3887
- NPI assigned
- Dec 13, 2005
- 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
- Kate Winter
- Title
- Revenue Cycle Manager
- Phone
- (925) 924-7115
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | 970000052 | CA | Primary |
Addresses
Primary practice location
1230 E. Windsor Rd.
Glendale, CA 91205
Mailing address
516 Burchett Street
Glendale, CA 91203-1014
Phone (818) 247-0420
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| ZZT05312F | Medicaid | CA |
Other names 1
- Windsor Manor
National Provider Directory
National Provider DirectoryMember of 1
Organizations this organization is a member of, according to the National Provider Directory.
Locations
516 Burchett St
Glendale, CA 91203
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1134432000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1527552000000",
"number": "1972588846",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "516 BURCHETT STREET",
"city": "GLENDALE",
"state": "CA",
"postal_code": "912031014",
"telephone_number": "818-247-0420",
"fax_number": "818-247-3871"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1230 E. WINDSOR RD.",
"city": "GLENDALE",
"state": "CA",
"postal_code": "91205",
"telephone_number": "818-244-7219",
"fax_number": "818-240-3887"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HUMANGOOD SOCAL",
"organizational_subpart": "NO",
"enumeration_date": "2005-12-13",
"last_updated": "2018-05-29",
"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": "970000052",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "ZZT05312F",
"state": "CA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Windsor Manor",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Glendale, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 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.