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Contact Information

HUMANGOOD NORCAL
819 SALEM DR
REDLANDS, CA92373
 Phone: 909-793-1233
 Fax: 909-798-5504
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Skilled Nursing Facility

314000000X A1[8] Skilled Nursing Facility
Indicates primary specialty

NPI Profile & details for HUMANGOOD NORCAL

NPI # 1578550372
LBN Legal business name HUMANGOOD NORCAL
Authorized official GWEN VANGELISTO - (DIRECTOR OF ACCOUNTS RECEIVABLE)
Entity Organization
Organization subpart 1 No
Enumeration date 10/05/2005
Last updated 06/02/2025 - More than a year ago
Identifiers
CA License # 240000189
CA Medicaid ZZT05914G
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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