# HUMANGOOD FRESNO

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

## Provider details

- **NPI number:** 1346321858
- **Authorized official:** KATE WINTER (REVENUE CYCLE MANAGER)
- **Authorized official phone:** (925) 924-7115

## Contact information

- **Practice address:** 5555 N FRESNO ST, FRESNO, CA 93710
- **Practice address phone:** (559) 439-4770
- **Practice address fax:** (559) 439-3569
- **Mailing address:** 6120 STONERIDGE MALL RD FL 3, ABHOW, PLEASANTON, CA 94588-3296
- **Mailing address phone:** (925) 924-7100
- **Mailing address fax:** (925) 924-7101

## Taxonomy

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

## Other

- **Enumeration date:** 10/18/2006
- **Last updated:** 06/16/2018

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | ZZR05846F | — | CA |