# HUMANGOOD SOCAL

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Windsor Manor
- **Organization subpart:** No

## Provider details

- **NPI number:** 1972588846
- **Authorized official:** KATE WINTER (REVENUE CYCLE MANAGER)
- **Authorized official phone:** (925) 924-7115

## Contact information

- **Practice address:** 1230 E. WINDSOR RD., GLENDALE, CA 91205
- **Practice address phone:** (818) 244-7219
- **Practice address fax:** (818) 240-3887
- **Mailing address:** 516 BURCHETT STREET, GLENDALE, CA 91203-1014
- **Mailing address phone:** (818) 247-0420
- **Mailing address fax:** (818) 247-3871

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 970000052 | CA | Yes |

## Other

- **Enumeration date:** 12/13/2005
- **Last updated:** 05/29/2018

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | ZZT05312F | — | CA |
