# HUMANGOOD FRESNO

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- **Entity:** Organization
- **Status:** Active
- **Other names:** The Terraces at San Joaquin Gardens Village
- **Organization subpart:** No

## Provider details

- **NPI number:** 1134480817
- **Authorized official:** GWEN ELLEN VANGELISTO (DIRECTOR OF ACCOUNTS RECEIVABLE)
- **Authorized official phone:** (949) 463-0893

## Contact information

- **Practice address:** 5551 N FRESNO ST, FRESNO, CA 93710
- **Practice address phone:** (559) 430-8202
- **Practice address fax:** (559) 439-3569
- **Mailing address:** 1900 HUNTINGTON DR, DUARTE, CA 91010-2694
- **Mailing address phone:** (818) 247-0420
- **Mailing address fax:** (949) 528-2434

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 040000142 | CA | Yes |

## Other

- **Enumeration date:** 05/30/2012
- **Last updated:** 06/02/2025