# HUMANGOOD PENNSYLVANIA

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** HUMANGOOD PENNSYLVANIA
- **Other names:** Rydal Park Medical Center
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1184619736
- **Legal business name:** HUMANGOOD PENNSYLVANIA
- **Authorized official:** GWEN ELLEN VANGELISTO (DIRECTOR OF ACCOUNTS RECEIVABLE)
- **Authorized official phone:** (949) 463-0893

## Contact information

- **Practice address:** 1515 THE FAIRWAY, JENKINTOWN, PA 19046-1435
- **Practice address phone:** (215) 885-6800
- **Practice address fax:** (215) 885-4560
- **Mailing address:** 2000 JOSHUA ROAD, LAFAYETTE HILL, PA 19444-2430
- **Mailing address phone:** (610) 828-4848
- **Mailing address fax:** (610) 834-6556

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261Q00000X | Clinic/Center | — | NULL | — |
| 314000000X | Skilled Nursing Facility | 182102 | PA | Yes |

## Other

- **Enumeration date:** 09/20/2005
- **Last updated:** 06/02/2025

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1007453170003 | — | PA |