Organization Active NPI

Humangood Socal

  • Skilled Nursing Facility
  • Glendale, CA
National Provider Identifier
1972588846
Registry record updated May 29, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
970000052 Issued in CA
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

Updated by the provider on May 29, 2018

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
ZZT05312FMedicaidCA

Other names 1

  • Windsor Manor Doing business as

National Provider Directory

National Provider Directory

Member 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.

Verify at the official NPI Registry.